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伴有潜在骨筋膜室综合征的肘前脱位:一例报告

Anterior elbow dislocation with potential compartment syndrome: a case report.

作者信息

Queipo-de-Llano Temboury Alfonso, Lara Jorge Mariscal, Fernadez-de-Rota Antonio, Queipo-de-Llano Enrique

机构信息

Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínico Universitario, "Virgen de la Victoria", Malaga, Spain.

出版信息

Tech Hand Up Extrem Surg. 2007 Mar;11(1):18-23. doi: 10.1097/bth.0b013e31802dcbf0.

Abstract

Anterior elbow dislocation is an infrequent lesion, usually produced by direct trauma to the proximal ulna after a fall on the elbow in flexion, and is often associated with soft tissue injuries. The authors report a case of a complex injury produced by a high-energy trauma in the right arm of a 65-year-old patient. His limb was trapped inside an industrial spin-dryer, resulting in a closed anterior elbow dislocation, diaphyseal ulnar shaft, radial styloid process fractures, and an associated compartment syndrome. The injury mechanism and its treatment are described to better manage the soft tissue injury and early elbow mobilization using the FEARM hinged external fixator. A good result was achieved, with almost complete restoration of the patient's arm functions, and he has returned to his previous working activities.

摘要

肘关节前脱位是一种罕见的损伤,通常是在屈曲位肘部着地后,近端尺骨受到直接创伤所致,且常伴有软组织损伤。作者报告了一例65岁患者右臂因高能创伤导致的复杂损伤病例。他的手臂被困在工业旋转式烘干机内,造成了闭合性肘关节前脱位、尺骨干骨折、桡骨茎突骨折以及相关的骨筋膜室综合征。描述了损伤机制及其治疗方法,以便使用FEARM铰链式外固定器更好地处理软组织损伤并早期进行肘关节活动。取得了良好的效果,患者手臂功能几乎完全恢复,已恢复到之前的工作活动。

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