An unusual cause of a spiral fracture of the humerus

An unusual cause of a spiral fracture of the humerus

62 Injury, 9, 62-63 Printed in Great Britain An unusual cause of a spiral fracture the humerus G. D. Rooker Accident Service, Radcliffe Infirmar...

1MB Sizes 2 Downloads 3 Views

62

Injury, 9, 62-63

Printed in Great Britain

An unusual cause of a spiral fracture the humerus G. D. Rooker Accident

Service,

Radcliffe

Infirmary,

Oxford

INTRODUCTION

ARM wrestling,

or Indian wrestling, is a contest between two opponents who sit on opposite sides of a table, resting their elbows in a flexed position with the palms approximated (Fig. 1). A win is scored by pushing the opponent’s forearm backwards into the horizontal position while keeping the elbow in contact with the table. The movement involved is essentially internal rotation of the shoulder for the victor and external rotation for the vanquished.

CASE

REPORT

A fit 34-year-old police officer was taking part in an arm wrestling competition sponsored by a brewery. During one ‘play’ he felt his dominant right arm break. He was taken to hospital where he was found to have a spiral fracture of the distal one-third of his right humerus with a buttertly fragment (Fig. 2). There was no evidence of underlying skeletal abnormality and no radial nerve involvement. He was treated initially with a U-slab followed by a more formal above-elbow plaster. A satisfactory position was obtained and the cast was maintained for 7 weeks. Eleven weeks after the injury he had a range of movement of 60-90” at the elbow. At 6 months he had full flexion, but lacked 15” extension. At this time he returned to light duties at work.

Fig. 1. Arm wrestling.

Acknowledgement I am grateful

to Mr J. N. Wilson

for permission

to report

this case under his care.

of

63

Rooker : Spiral Fracture of Humerus

b Fig. 2. Anteroposterior

Requests

for reprints

should

and lateral

be addressed

X-rays

of the fractured

to: Mr G. D. Rooker,

FRCS,

humerus.

Accident

Service,

The

Radcliffe

Infirmary,

Oxford,

OX2

6HE.