Karlsson Magnus K, Hasserius Ralph, Karlsson Caroline, Besjakov Jack, Josefsson Per Olof
Department of Orthopaedics, Malmö University Hospital, Malmo, Sweden.
J Pediatr Orthop B. 2002 Jul;11(3):251-5. doi: 10.1097/00009957-200207000-00010.
Ten girls and 13 boys with mean age 11 years when sustaining a fracture of the olecranon were examined at a mean of 19 years after the injury. Ten fractures were displaced less than 2 mm, three 2-3 mm, eight more than 3 mm and two were multifragmental. The treatment consisted of mobilization in three cases, plaster treatment in nine and open reduction and internal fixation in 11 cases. At follow-up, 21 children had no subjective complaints while two had occasional mild pain. The upper arm circumference was thinner in the former injured extremities than in the uninjured (P<0.05). No other objective deficits were found. None had developed non-union or elbow osteoarthritis. Olecranon fractures during growth have an excellent long-term outcome.
10名女孩和13名男孩在平均11岁时发生尺骨鹰嘴骨折，受伤后平均19岁时接受检查。10例骨折移位小于2毫米，3例移位2 - 3毫米，8例移位超过3毫米，2例为多段骨折。治疗方法包括3例采用活动疗法，9例采用石膏治疗，11例采用切开复位内固定术。随访时，21名儿童无主观不适，2名儿童偶尔有轻度疼痛。受伤肢体的上臂周径比未受伤肢体细（P<0.05）。未发现其他客观功能障碍。无一例发生骨不连或肘骨关节炎。生长期间的尺骨鹰嘴骨折远期预后良好。
