case_images: PMC11760771_01
case_images: Clinical photographs of right upper extremity showing wounds and deformities; (a) shoulder anterior view, (b) superior view, and (c) posterior wrist.
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case_images: Scars were present on the proximal volar and dorsal sides around the elbow (Fig. 1).
case_images: Radiographic series showing multiple fractures and dislocations of the right upper extremity; (A) shoulder anteroposterior, (B) elbow anteroposterior and lateral, (C) wrist anteroposterior and lateral, and (D) shoulder CT scan.
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case_images: A CT scan was performed to clearly visualize the configuration of the proximal humerus (Fig. 2).
case_images: Postoperative radiographs after definitive surgical intervention; (A) humerus anteroposterior and lateral, (B) forearm anteroposterior and lateral, and (C) wrist anteroposterior and lateral.
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case_images: Angle distal radius locking plate, and a Distal Ulna Resection/Stabilization (DURS) procedure (Fig. 3). As the patient's consciousness improved, a neurological evaluation of the posterior interosseous nerve confirmed the presence of palsy; the patient was unable to extend his thumb.
case_images: Clinical photographs and range of movement examination; (A) shoulder abduction, (B) flexion contracture elbow, (C) passive wrist extension, (D) no supination.
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case_images: The wrist's flexion is reduced to 30  and passive extension to 20 , with ulnar deviation at 50  and no radial deviation (Fig. 4).
case_images: Radiological evaluation 7 months post-operative; (A) shoulder anteroposterior with internal and external rotation and (B) forearm anteroposterior and lateral.
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case_images: Radiological evaluations revealed avascular necrosis of the proximal humerus, union of the ulnar shaft, proximal radioulnar synostosis, malunion of the distal radius, and subluxation of the wrist joint (Fig. 5).