Abid Abdelazis, Accadbled Franck, Kany Jean, de Gauzy Jerome Sales, Darodes Philippe, Cahuzac Jean Philippe
Department of Pediatric Orthopedic Surgery, Children Hospital, Avenue de Grande-Bretagne, Toulouse, France.
J Pediatr Orthop B. 2008 Jan;17(1):15-9. doi: 10.1097/BPB.0b013e3282f3cacb.
Ulnar styloid fractures are frequently ignored in the treatment of wrist fractures in children. Forty-six untreated ulnar styloid fractures (40 tip and six base fractures) associated with radial injuries (45 patients) were retrospectively analysed. At the removal of the cast, we recorded that 80% had a nonunion of the styloid fracture. Thirty-five patients were reviewed at an average of 19 months after treatment. Thirty tip fractures and five base avulsions were found. We recorded 28 patients with a good clinical result despite 21 cases of nonunion, whereas seven patients (all nonunions) had a fair result. All the fair results suffered from intermittent pain during sports and movement, radioulnar joint instability and tears of the triangular fibrocartilage complex. It can be concluded that both distal radius and ulnar styloid fractures should be taken into account in the initial treatment and pain associated with a nonunion of the ulnar styloid in a child may be due to a tear of the triangular fibrocartilage complex.
在儿童腕部骨折的治疗中，尺骨茎突骨折常常被忽视。对46例与桡骨损伤相关的未经治疗的尺骨茎突骨折（40例尖端骨折和6例基部骨折）（涉及45名患者）进行了回顾性分析。在拆除石膏时，我们记录到80%的茎突骨折出现骨不连。对35例患者在治疗后平均19个月进行了复查。发现30例尖端骨折和5例基部撕脱骨折。我们记录到，尽管有21例骨不连，但28例患者临床结果良好，而7例患者（均为骨不连）结果一般。所有结果一般的患者在运动和活动时均有间歇性疼痛、桡尺关节不稳定以及三角纤维软骨复合体撕裂。可以得出结论，在初始治疗中应同时考虑桡骨远端和尺骨茎突骨折，儿童尺骨茎突骨不连相关的疼痛可能是由于三角纤维软骨复合体撕裂所致。
