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成人肘部急性脱位

Acute dislocations of the adult elbow.

作者信息

Hobgood E Rhett, Khan Sami O, Field Larry D

机构信息

Mississippi Sports Medicine and Orthopaedic Center, Jackson, MS 39202, USA.

出版信息

Hand Clin. 2008 Feb;24(1):1-7. doi: 10.1016/j.hcl.2007.11.012.

DOI:10.1016/j.hcl.2007.11.012
PMID:18299016
Abstract

Despite the highly constrained nature of the elbow joint, dislocation is not uncommon. Uncomplicated (simple) dislocations are those that occur without fracture and usually can be managed successfully with closed reduction and early motion. Precise attention, however, should be given to the stability of the elbow immediately after reduction. Instability can persist in full extension and require modification in forearm rotation and limitation of full extension to maintain stability. Soft tissue injury can be severe, at times requiring surgical repair to maintain stability.

摘要

尽管肘关节的结构高度受限,但脱位并不罕见。单纯(简单)脱位是指没有骨折的脱位,通常通过闭合复位和早期活动就能成功处理。然而,复位后应立即密切关注肘关节的稳定性。伸直位时可能仍存在不稳定,需要调整前臂旋转并限制完全伸直以维持稳定性。软组织损伤可能很严重,有时需要手术修复以维持稳定性。

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