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一名一岁儿童的单纯性肘关节后脱位:病例报告

Isolated posterior elbow dislocation in a one-year-old child: a case report.

作者信息

Isaac Sherif Mouneir, Danial Irini, Modi Amit

机构信息

Leicester Royal Infirmary, Leicester, United Kingdom.

出版信息

Acta Orthop Belg. 2009 Feb;75(1):133-5.

Abstract

Elbow dislocation is relatively uncommon in skeletally immature patients. Numerous reports describe elbow dislocations in children with or without associated fractures. These dislocations are most commonly posterior, although other types have been described, and are usually associated with fractures around the elbow. Isolated elbow dislocation is a very uncommon injury especially in children. The youngest ever-reported child in the English literature with an elbow dislocation was a 4-year-old girl with a transverse divergent dislocation and an avulsed bony fragment from the coronoid process. We report a rare case of isolated posterior elbow dislocation in an 18-month-old child. This appears to be the youngest case with this type of injury in the English literature. Management involved closed reduction under general anaesthesia followed by a 2-weeks period of immobilisation in a plaster of Paris back-slab. At last follow-up, the patient regained a full range of pain free movements.

摘要

肘关节脱位在骨骼未成熟的患者中相对少见。大量报告描述了儿童肘关节脱位,伴或不伴有相关骨折。这些脱位最常见为后脱位,尽管也有其他类型的描述,且通常与肘部周围骨折相关。单纯肘关节脱位是一种非常罕见的损伤,尤其是在儿童中。英文文献中报道的最年幼的肘关节脱位患儿是一名4岁女孩,为横向分离脱位,并有冠状突撕脱骨块。我们报告一例18个月大儿童罕见的单纯后脱位病例。这似乎是英文文献中该类型损伤最年幼的病例。治疗包括全身麻醉下闭合复位,随后在巴黎石膏后托中固定2周。在最后一次随访时,患者恢复了无痛的全范围活动。

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