Clin Shoulder Elbow Search


Clin Shoulder Elbow > Volume 18(1); 2015 > Article
Clinics in Shoulder and Elbow 2015;18(1):8-12.
DOI:    Published online March 31, 2015.
Classic Floating Elbow in Adults: A Case Series
Chul Hyun Cho, Kyung Keun Min
Department of Orthopedic Surgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
Received: 1 September 2014   • Revised: 20 October 2014   • Accepted: 31 October 2014
BACKGROUND: The aim of this study was to assess demographics, clinical outcomes, and complications of classic floating elbow in adults.
Six patients with ipsilateral diaphyseal fractures of the humerus, radius, and ulna were reviewed retrospectively. All patients were treated operatively and available for follow-up at a minimum of 1 year after surgery. The average age of the patients was 45.2 years (22-64 years) and the average follow-up period was 37.0 months (14-103 months). They were evaluated with postoperative outcome measures, including a visual analog scale (VAS) for pain, Mayo elbow performance score (MEPS), and American Shoulder and Elbow Surgeons (ASES) shoulder score. Residual complications were also evaluated.
Five patients (83.3%) had open fracture, and 4 patients (66.7%) presented with associated nerve injury. All fractures were united within postoperative 4 months, except 1 delayed union. The average VAS pain score, MEPS, and ASES shoulder score at the final follow-up examination was 2.5, 79.8, and 67.5 respectively. Three patients including 2 cases of joint stiffness with incomplete recovery from nerve injury and 1 case of complex regional pain syndrome had poor clinical outcome.
Although the classic floating elbow is rare, these injuries potentially have associated problems such as open fracture or nerve injury. The presence of residual neurological symptoms predispose to poorer clinical outcomes.
Key Words: Humerus; Radius; Ulna; Fracture; Floating elbow
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 0 Crossref
  • 13,987 View
  • 1 Download
Related articles in Clin Should Elbow

Isolated Anterior Dislocation of the Radial Head in Adult: A Case Report2007 June;10(1)


Browse all articles >

Editorial Office
Department of Orthopaedic Surgery, Seoul National University Hospital,
#6603, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea
Tel: +82-2-3410-1854    Fax: +82-2-3410-0061    E-mail:                

Copyright © 2021 by Korean Shoulder and Elbow Society.

Developed in M2PI

Close layer
prev next