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Gepubliceerd in: Nederlands Tijdschrift voor Traumachirurgie 4/2010

01-08-2010 | casus

Miskend letsel van de elleboog bij een ipsilaterale proximale humerusfractuur

Auteurs: T. Kraal, L. C. M. Keijser

Gepubliceerd in: Nederlands Tijdschrift voor Traumachirurgie | Uitgave 4/2010

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Samenvatting

Dit case report beschrijft de casus van twee patiënten met een fractuur van de proximale humerus, waarbij in eerste instantie traumatisch letsel van de ipsilaterale elleboog is gemist. In casus 1 betreft dit een terrible triad van de elleboog, waarbij de uiteindelijke behandeling een totale elleboogartroplastiek is. In casus 2 is een olecranonfractuur miskend, wat heeft geleid tot een milde extensiebeperking die geen behandeling behoeft. Miskenning van letsel van de elleboog bij een fractuur van de proximale humerus kan worden voorkomen met behulp van de elleboogextensietest, die snel en eenvoudig is af te nemen. Indien de patiënt zijn elleboog niet volledig actief kan strekken, is aanvullend röntgenonderzoek noodzakelijk. Hiermee kan blijvende schade en functionele beperking van de elleboog worden voorkomen.
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Metagegevens
Titel
Miskend letsel van de elleboog bij een ipsilaterale proximale humerusfractuur
Auteurs
T. Kraal
L. C. M. Keijser
Publicatiedatum
01-08-2010
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Nederlands Tijdschrift voor Traumachirurgie / Uitgave 4/2010
Print ISSN: 2214-8736
Elektronisch ISSN: 2214-8744
DOI
https://doi.org/10.1007/BF03089829

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