Ipsilateral elbow and distal radial injuries: Experience with management

Simultaneous occurrence of injury to ipsilateral distal humerus/elbow and distal radial and/or radioulnar bone at wrist is extremely uncommon. Most of the textbooks do not mention this combination of injury. This fracture combination was studied in 42 children as a multicentric study where the peak age incidence was 10 years (range: 6–15 years); injury was common in males and on the right side in most of the cases. Open fractures were seen in 12 cases where injury resulted due to fall from height on an outstretched hand. Thirty of these injuries were treated conservatively and 12 by surgery. The study discusses the problems in management and complications observed thereof. A flowchart has been recommended based on experience.