Cheng Pen-Gang, Chang Wei-Ning, Wang Matthew N
Department of Orthopedic Surgery, Kuang-Tien General Hospital, Taichung, Taiwan, ROC.
J Chin Med Assoc. 2009 Feb;72(2):103-7. doi: 10.1016/S1726-4901(09)70033-4.
Posteromedial dislocation of the elbow with lateral condyle fracture is a rare injury, and only a few cases have been reported in the literature. We report 3 children who had posteromedial dislocation of the elbow with Milch type II lateral condylar fracture of the distal humerus. Major complications included malunion, nonunion of the fracture, heterotophic calcification and elbow subluxation. From our experience and a review of the literature, open anatomical reduction and internal fixation of the lateral condyle fracture is the mainstay of treatment for these children. Poor reduction of the lateral condyle fracture results in incongruity of the joint surface and leads to poor results.
伴有外侧髁骨折的肘关节后内侧脱位是一种罕见的损伤，文献中仅报道了少数病例。我们报告了3例患有肱骨远端Milch II型外侧髁骨折的肘关节后内侧脱位患儿。主要并发症包括骨折畸形愈合、不愈合、异位钙化和肘关节半脱位。根据我们的经验并回顾文献，外侧髁骨折的切开解剖复位及内固定是这些患儿的主要治疗方法。外侧髁骨折复位不佳会导致关节面不平整，从而影响治疗效果。
