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同侧肱骨髁上骨折合并孟氏骨折:一例报告

Ipsilateral supracondylar humerus fracture and Monteggia lesion: a case report.

作者信息

Powell Robert S, Bowe John Andrew

机构信息

Division of Orthopaedic Surgery, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Brunswick, New Jersey, USA.

出版信息

J Orthop Trauma. 2002 Nov-Dec;16(10):737-40. doi: 10.1097/00005131-200211000-00010.

DOI:10.1097/00005131-200211000-00010
PMID:12439199
Abstract

Two to 13% of supracondylar humerus fractures in children are associated with an ipsilateral forearm fracture, most of which are distal radius fractures. We present an unusual case of a 2-year-old girl with an ipsilateral supracondylar humerus fracture and a Monteggia lesion. Our management consisted of percutaneous K-wire fixation of the supracondylar humerus fracture and percutaneous insertion of an intramedullary K-wire for stabilization of the ulna fracture. Our patient had an excellent result, and we would recommend this method of fixation for similar injuries.

摘要

儿童肱骨髁上骨折中有2%至13%与同侧前臂骨折相关,其中大多数为桡骨远端骨折。我们报告一例罕见病例,一名2岁女童患有同侧肱骨髁上骨折和孟氏骨折。我们的治疗方法包括经皮克氏针固定肱骨髁上骨折,以及经皮插入髓内克氏针以稳定尺骨骨折。我们的患者取得了极佳的治疗效果,对于类似损伤,我们推荐这种固定方法。

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