Bilateral Distal Humeral Fracture in a patient with Osteogenesis imperfecta During the Covid Pandemic


Bilateral Distal Humeral Fracture in a patient with Osteogenesis imperfecta During the Covid Pandemic– A Rare Case Report


Dr. Vaisakh Reghuram1*, Mr. Milind Mehta2, Mr. Gautam Talawadekar3

1Speciality Doctor T&O, Furness General Hospital , Barrow in Furness, UK.
2Specialist Registrar T&O, Furness General Hospital, Barrow in Furness, .UK
3Consultant T&O, Furness General hospital, Barrow in Furness, UK.


Introduction: Osteogenesis imperfecta (OI) is a genetic disorder which is characterised by bone deformity, low bone mass, connective tissue manifestations and brittle bones with history of multiple fractures. Although recurrent fractures are known in patient with OI, the occurrence of bilateral simultaneous fracture of humerus is quite rare.

Presenting complaint and investigations: The patient had a fall in the outdoors during a storm during the height of covid pandemic and sustained injury to both arms. Radiographs revealed comminuted fracture of left distal humerus and transverse extraarticular supracondylar fracture of right humerus.

Diagnoses, therapeutics interventions, and outcomes: Although, conservative measures were advised as per the guidelines for orthopaedic surgery during the covid pandemic for most of the fractures, the decision to operate was made considering the morbid obesity and hampered mobility due to bilateral above elbow plaster.The patient underwent staged open reduction and internal fixation of both distal humerus with anatomical locking plates in a span of 2 weeks. She recovered uneventfully with a good functional range of movements and resumed her routine activities.

Conclusion: The treatment for complex and unusual fractures should be individualised and should take into consideration of patient’s general condition and safety.


Keywords: osteogenesis imperfecta, brittle bone disease, bilateral, distal humerus fracture


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How to cite this article:

Vaisakh Reghuram, Milind Mehta, Gautam Talawadekar. Bilateral Distal Humeral Fracture in a patient with Osteogenesis imperfecta During the Covid Pandemic– A Rare Case Report. International Journal of Case Reports, 2020; 4:187. DOI: 10.28933/ijcr-2020-11-2205


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