Demographics:
33 years old, Male
Indication:
Gunshot wound
Findings
- Acute open, comminuted fracture of the proximal ulna with a transverse component just distal to the coronoid process and a longitudinal component with proximal intraarticular extension via the lateral aspect of the coronoid process
- Anterior dislocation of the radial head with slight proximal migration
- Soft tissue swelling and subcutaneous emphysema about the elbow
Diagnosis
Open elbow fracture/dislocation
Sample Report
Acute open elbow fracture/dislocation with anterior dislocation and proximal migration of the radial head and a comminuted fracture of the proximal ulna with a transverse component just distal to the coronoid process and a longitudinal component with proximal intraarticular extension via the lateral aspect of the coronoid process.
Ulnotrochlear alignment is maintained.
Soft tissue swelling and subcutaneous emphysema about the elbow.
No retained radiopaque foreign body.
Discussion