Visna P, Kalvach J, Beitl E, Pilný J, Cizmár I
Department of Traumatology, Motol Faculty Hospital, Prag 5, Tschechien.
Unfallchirurg. 2008 Mar;111(3):193-6. doi: 10.1007/s00113-007-1313-8.
A healthy, right-handed 34-year-old man was injured by repeated direct blows delivered to his left upper arm with a baseball bat. These blows led to a posterior dislocation of the elbow joint, associated with fractures of the radial head and the coronoid process. There was bone loss on the fractured joint surface of the olecranon, with simultaneous ipsilateral trauma to the ulna. The correct surgical approach in the case of such fractures is still the subject of some controversy. The treatment can have serious complications. The results of treatment are often poor, especially because of persisting instability and stiffness of the elbow following a long period of immobilisation. Few studies have been concentrated on this topic up to now. We report on the functional and radiological results 24 months after the treatment of this rare, open "shock triad in the elbow."
一名34岁健康的右利手男性被人用棒球棒反复直接击打左上臂而受伤。这些击打导致肘关节后脱位，伴有桡骨头和冠突骨折。鹰嘴骨折关节面有骨质丢失，同时尺骨同侧也受到创伤。对于此类骨折，正确的手术方法仍存在一些争议。该治疗可能会引发严重并发症。治疗结果往往不佳，尤其是由于长期固定后肘关节持续存在不稳定和僵硬。到目前为止，很少有研究关注这个话题。我们报告了对这种罕见的开放性“肘部冲击三联征”进行治疗24个月后的功能和影像学结果。
