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Trauma
intermediate
X-Type

Floating Elbow - High-Energy Upper Limb Trauma

Polytrauma

A 35-year-old motorcyclist is brought to the emergency department after a high-speed collision. His right arm shows obvious deformity at both the mid-humerus and mid-forearm with associated soft tissue swelling. The elbow segment appears to move independently. Radial pulse is palpable but forearm compartments are tense. The trauma surgeon diagnoses a floating elbow injury. Regarding floating elbow injuries in adults:

Mark each as TRUE or FALSE

A

Floating elbow refers to ipsilateral fractures of the humerus and forearm (radius and/or ulna) creat...

B

The injury is associated with high rates of open fractures (30-40%), neurovascular compromise (radia...

C

Cast immobilization alone is the standard treatment for adult floating elbow injuries; surgical stab...

D

Surgical stabilization of both fracture segments (plate fixation for forearm, plate or IMN for humer...

E

Elbow stiffness is the most common functional complication, particularly with prolonged immobilizati...

Answer the questions to see explanations

Click T (True) or F (False) for each option