Basanagoudar Praveen, Pace Alistair, Ross David
Department of Orthopaedic Surgery and Traumatology, Stirling Royal Infirmary, Livilands, Stirling, United Kingdom.
Acta Orthop Belg. 2006 Jun;72(3):359-61.
Paediatric elbow dislocations are uncommon injuries, accounting for 3-6% of all elbow injuries in childhood. A divergent elbow dislocation is an even more infrequent injury, where in addition to the elbow dislocation there is divergence of the proximal radius and ulna, either in a transverse (extremely rare) or in an anteroposterior plane, as a result of the distal humerus being forced between the proximal ends of the forearm bones. The lesion results from indirect forces transmitted to the elbow from a fall on the outstretched hand. The authors report a case of transverse divergent elbow dislocation in an 8-year-old boy, treated by closed reduction and immobilisation in a cast. At 6 months follow-up the patient had regained a full range of motion, without instability or pain.
小儿肘关节脱位是一种少见的损伤，占儿童所有肘关节损伤的3%至6%。分离性肘关节脱位更是一种罕见的损伤，除肘关节脱位外，由于肱骨远端被挤在前臂骨近端之间，导致桡骨近端和尺骨在横断面上（极为罕见）或前后平面上出现分离。该损伤是由于间接暴力通过伸直的手部着地传递至肘部所致。作者报告了一例8岁男孩的横断性分离性肘关节脱位病例，通过闭合复位及石膏固定进行治疗。随访6个月时，患者已恢复了全范围活动，无不稳定或疼痛症状。
