Meznik A, Rois J, Meznik S
Unfallkrankenhaus Wien-Meidling der AUVA, Wien, Osterreich.
Handchir Mikrochir Plast Chir. 2003 May;35(3):191-5. doi: 10.1055/s-2003-41979.
Four children between the age of 10 and 13 years with distal radius fractures healed with dorsal angulation presented to us in our out-patient department. All had been treated conservatively with an upper-arm cast, all fractures had healed with an average dorsal angulation of 10 degrees. Despite this dorsal angulation, the patients were pain free. Subsequent minor injury resulting in pain to the wrist was now the reason for their presentation. On examination we found a spontaneous palmar dislocation of the ulnar head during supination. This proved to be resistant to conservative therapy. In all cases corrective osteotomy of the radius at the level of angulation was performed. Redislocation of the ulnar head was prevented by this method in all cases.
4名年龄在10至13岁之间的儿童因桡骨远端骨折愈合后出现背侧成角前来我院门诊就诊。所有患儿均接受了上臂石膏保守治疗，所有骨折均已愈合，平均背侧成角10度。尽管存在这种背侧成角，但患儿并无疼痛。随后因手腕轻微受伤导致疼痛是他们前来就诊的原因。检查时我们发现旋前时尺骨头出现自发性掌侧脱位。事实证明这种情况对保守治疗无效。所有病例均在成角水平进行了桡骨截骨矫正术。通过这种方法，所有病例均防止了尺骨头再次脱位。
