An Unusual Injury
نویسنده
چکیده
The following case seems worth recording because of the unusual injury and the easy approach to the elbow joint through rather dangerous territory :? A young British officer, after a fall from a horse, had swelling of the right elbow and could not bend it fully. Stereoscopic x-rays showed that the base of the coronoid process of the ulna had been torn out and was in front of the joint. As the fragment could not be replaced by manipulation I decided to remove it. Operation.?An incision was made along the outer border of the pronator teres, which was retracted inwards with the common flexors. The median nerve and the origin of the ulnar and radial arteries were drawn outwards. The branch from the median nerve to the common flexors was carefully exposed and gently retracted inwards, the dissection being deepened down to the joint in the space between the branch and the median trunk. The fragment of bone was now easily identified, cleaned of some fibres of the brachialis anticus and removed. The open joint was dusted with thiazamide powder, one stitch put in the capsule, the deep fascia sewn up and the skin closed with a subcuticular stitch. Recovery was uneventful and movements are now
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