Lee P C, Su J Y, Yeh W L
Department of Trauma Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
Chang Gung Med J. 2000 Jan;23(1):38-42.
Although the adult Monteggia fracture is a well-known injury, the combination of a Monteggia fracture and an ipsilateral distal radius fracture is extremely rare. It is important for the treating physician to recognize that this injury involves not only the bone elements but also their articulations. The distortion of the integrity of both the elbow and the wrist results in the potential for functional compromise, if inadequately treated. The case report presented here describes a 21-year-old woman with this complex injury resulting from a fall. The injury included a Monteggia type II fracture and an ipsilateral distal radius intra-articular fracture in the left forearm. An excellent result was obtained by surgical intervention in both the radial and ulnar bones. The factors we believe contributed to the excellent result were early diagnosis, anatomic reduction, stable fixation, and early physical exercise. The mechanism of injury giving rise to this rare combination of fractures is discussed, as well as a review of the literature.
虽然成人孟氏骨折是一种广为人知的损伤，但孟氏骨折与同侧桡骨远端骨折同时出现的情况极为罕见。对于主治医生而言，认识到这种损伤不仅涉及骨骼结构，还包括其关节结构非常重要。如果治疗不当，肘部和腕部完整性的破坏会导致功能受损。本文所呈现的病例报告描述了一名21岁女性因跌倒导致的这种复杂损伤。损伤包括左前臂的II型孟氏骨折和同侧桡骨远端关节内骨折。通过对桡骨和尺骨进行手术干预，获得了极佳的治疗效果。我们认为促成这一良好结果的因素包括早期诊断、解剖复位、稳定固定以及早期体育锻炼。本文讨论了导致这种罕见骨折组合的损伤机制，并对相关文献进行了综述。
