Mathieu L, Ollat D, Versier G
Service de Chirurgie Orthopédique et Traumatologie, hôpital d'Instruction des Armées Bégin, 69, avenue de Paris, 94160 Saint-Mandé.
Rev Chir Orthop Reparatrice Appar Mot. 2007 Sep;93(5):511-4. doi: 10.1016/s0035-1040(07)90335-9.
We report a case of shaft fracture involving both forearm bones in an 18-year-old male presenting congenital radioulnar synostosis. The mechanism of fracture involved both direct blunt trauma and forced supination on forearm frame blocked in 30 degrees pronation. Emergency osteosynthesis was performed using a standard procedure without any attempt to modify the ankylosis position. Congenital radioulnar synostosis appears to produce a rather vulnerable forearm due to restrained torsion. This notion must be taken into account in such subjects participating in contact sports which solicit pronation-supination.
我们报告一例18岁男性先天性桡尺骨融合患者双侧前臂骨干骨折。骨折机制包括直接钝性创伤以及前臂在旋前30度固定时的强迫旋后。采用标准手术进行急诊骨固定,未尝试改变关节强直位置。由于扭转受限,先天性桡尺骨融合似乎使前臂相当脆弱。对于参与需要旋前 - 旋后动作的接触性运动的此类患者,必须考虑这一点。