Tarczyńska Marta, Kołodziej Robert, Gagała Jacek
Katedra Ortopedii, Klinika Ortopedii i Traumatologii AM w Lublinie, Lublin.
Ortop Traumatol Rehabil. 2007 Jan-Feb;9(1):75-81.
Fractures of the lateral part of the humeral condyle in childhood very often go undetected and are treated incorrectly, giving rise to numerous late complications. The study evaluated the outcomes of treatment of ulnar neuropathy secondary to a fracture of the lateral part of the humeral condyle in childhood.
The study enrolled 12 patients aged 28-58 who had suffered fractures of the elbow at between 2 and 14 years of age. Arthrosis and a valgus deformity of the joint, contractures in flexion and extension of the elbow as well as ulnar neuropathy were observed after an average of about 30 years after the fracture. The patients accepted posttraumatic deformation of the axis and contractures of the elbow. The indication for operative treatment was the presence of signs of ulnar neuropathy. The treatment consisted in anterior transposition of the nerve. Postoperative follow-up lasted from 4 to 23 years.
The long-term sequelae of these fractures are a valgus deformity of the elbow, arthrosis of the joint and neuropathy of the ulnar nerve. Ulnar nerve transposition relieves the patients from nerve compression symptoms arising at this level.
儿童肱骨髁外侧骨折常常未被发现且治疗不当，从而引发诸多晚期并发症。本研究评估了儿童肱骨髁外侧骨折继发尺神经病变的治疗效果。
本研究纳入了12例年龄在28 - 58岁之间的患者，他们在2至14岁时曾发生肘部骨折。骨折后平均约30年，观察到关节出现关节炎和外翻畸形、肘关节屈伸挛缩以及尺神经病变。患者接受了创伤后轴位变形和肘关节挛缩。手术治疗的指征是存在尺神经病变的体征。治疗方法为神经前置术。术后随访持续4至23年。
这些骨折的长期后遗症包括肘关节外翻畸形、关节关节炎和尺神经病变。尺神经前置术可缓解该水平出现的神经受压症状。
