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复杂小儿肘部损伤:1例罕见病例

Complex pediatric elbow injury: an uncommon case.

作者信息

Sharma H, Ayer R, Taylor G R

机构信息

Department of Trauma and Orthopaedics, Victoria Infirmary, Glasgow, G42 9TY, UK.

出版信息

BMC Musculoskelet Disord. 2005 Mar 9;6:13. doi: 10.1186/1471-2474-6-13.

Abstract

BACKGROUND

There is paucity of literature describing complex elbow trauma in the pediatric population. We described a case of an uncommon pediatric elbow injury comprised of lateral condyle fracture associated with posterolateral dislocation of elbow.

CASE PRESENTATION

A 12-year-old boy sustained a direct elbow trauma and presented with Milch type II lateral condyle fracture associated with posterolateral dislocation of elbow. Elbow dislocation was managed by closed reduction. The elbow stability was assessed under general anaesthesia, followed by open K-wiring for the lateral condylar fracture fixation. The patient had an uneventful recovery with an excellent outcome at 39 months follow-up.

CONCLUSION

Complex pediatric elbow injuries are quite unusual to encounter, the management of such fractures can be technically demanding. Concomitant elbow dislocation should be managed by closed reduction followed by open reduction and internal fixation (K-wires or cannulated screws) of the lateral condyle fracture.

摘要

背景

描述小儿复杂肘部创伤的文献较少。我们描述了一例罕见的小儿肘部损伤病例,该损伤由外侧髁骨折合并肘关节后外侧脱位组成。

病例介绍

一名12岁男孩肘部受到直接创伤,表现为米尔希II型外侧髁骨折合并肘关节后外侧脱位。肘关节脱位通过闭合复位进行处理。在全身麻醉下评估肘关节稳定性,随后对外侧髁骨折进行切开克氏针内固定。患者恢复顺利,在39个月的随访中获得了优异的结果。

结论

小儿复杂肘部损伤非常少见,此类骨折的处理在技术上具有挑战性。合并的肘关节脱位应先进行闭合复位,然后对外侧髁骨折进行切开复位内固定(克氏针或空心螺钉)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c75a/1079861/9fdb1ae74691/1471-2474-6-13-1.jpg

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