Powell Robert S, Bowe John Andrew
Division of Orthopaedic Surgery, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Brunswick, New Jersey, USA.
J Orthop Trauma. 2002 Nov-Dec;16(10):737-40. doi: 10.1097/00005131-200211000-00010.
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.
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。