Biepicondylar fracture dislocation of the elbow joint concomitant with ulnar nerve injury

Figure 1 Pre-operative posterior elbow fracture dislocation with avulsed medial and lateral epicondyle fracture radiography.

Figure 2 Intra-operative view. A: Avulsed medial epicondyle and lateral epicondyle with osteotomized olecranon; B: Avulsed medial epicondyle with nervus ulnaris; C: Plate and screw fixation of olecranon and repaired nervus ulnaris.

Figure 3 Early post-operative radiography with olecranon plate. A: Union of the fracture lines, as well as the olecranon osteotomy site, was achieved at the end of forth months post-operatively; B: Elbow radiography after removal olecranon after one year.

Figure 4 Elbow range of motion after one year. A: Fully restored flexion; B: Only 20 degrees extension disability.