Shell splinter injury to the elbow

Case contributed by Roberto Schubert
Diagnosis certain

Presentation

The patient was previously wounded in an armed conflict and had been operated upon twice. CT for arthroplasty planning.

Patient Data

Age: 25 years
Gender: Male

Comminuted distal humeral fracture with dispersed fragments and bone defects involving the entire lateral condyle. Shell splinters and bone fragments had been surgically removed in former instances. Burrholes from external fixation can be seen in the shafts of the distal humerus and the proximal radius and ulna.

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