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CASE REPORT
Year : 2020  |  Volume : 3  |  Issue : 2  |  Page : 92-94

Dog bite causing open radial neck fracture with posterior interosseous nerve palsy in a child


1 Department of Orthopaedics, PGIMER, Chandigarh, India
2 Department of Orthopaedics, AIIMS, Delhi, India

Correspondence Address:
Saurabh Vashisht
15 Ground Floor, Department of Orthopaedics, Nehru Hospital, PGIMER, Chandigarh - 160 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JODP.JODP_6_20

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Fractures secondary to dog bites are extremely rare with an incidence of around 1.4%. These are usually reported above the clavicle in children and in the extremities in adolescents and adults. Upper extremity fractures, other than hand fractures, have been reported very infrequently. We report a rare case of a Gustillo-Anderson grade 3b open fracture of the radial neck with associated posterior interosseous nerve palsy following a dog bite in a 12-year-old boy. The fracture was picked up promptly due to thorough history-taking, careful clinical examination and screening with plain radiographs. The wound was debrided aggressively under antibiotic coverage with standard tetanus and rabies prophylaxis and was allowed to heal by secondary intention after immobilizing the fracture in an above-elbow plaster splint. The fracture united uneventfully and neurologic function recovered completely within 12 weeks with excellent functional outcome at the one-year-follow-up visit.


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