Department of Orthopaedic Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, 480-717, Korea.
J Orthop Trauma. 2010 Feb;24(2):e12-6. doi: 10.1097/BOT.0b013e3181a5e441.
We report a case of posterior Monteggia lesion in a 12-year-old girl consisting of a greenstick fracture of the proximal ulnar metaphysis and a radial neck fracture with a proximal and posterior 90-degree rotational displacement of the radial head. Closed reduction of the radial head resulted in complete reversal of the radial head, which was corrected by open reduction and internal fixation. Cast immobilization without correction of the plastic deformation of the proximal ulna caused posterior bowing of the ulna and posterior displacement of the fractured radial neck. Corrective osteotomy of the ulna and third operation of radius resulted in bony union and acceptable alignment.
我们报告一例 12 岁女孩的后孟氏骨折，包括尺骨干骺端的青枝骨折和桡骨头颈骨折，伴有桡骨头近端和后 90 度旋转脱位。闭合复位使桡骨头完全复位，然后行切开复位内固定。未纠正尺骨的塑性变形而单纯使用石膏固定导致尺骨后弓畸形和桡骨颈骨折向后移位。尺骨矫正截骨和桡骨第三次手术使骨折愈合和对线可接受。
