Trauma and Orthopaedics, Hospital 12 Octubre, Madrid, Spain.
J Orthop Trauma. 2010 Mar;24(3):e21-4. doi: 10.1097/BOT.0b013e3181ad629d.
A 47-year-old man sustained a medial complex dislocation of the right elbow. After initial evaluation, closed reduction was performed. On examination under general anesthesia, the elbow was unstable under varus and valgus stress. Computed tomography scan showed a medial epicondyle and a coronoid fracture. Both medial and lateral approaches were used to fix the epicondylar fragment, the coronoid fragment, and the complex damage to the soft tissues. Immobilization in a cast for 1 week followed by early motion in a dynamic orthosis resulted in a good outcome. Follow up at 2 years showed a range of motion of 110 degrees of flexion-extension and 170 degrees of pronation-supination. Radiographs showed no significant arthritis or heterotopic ossifications.
一位 47 岁男性发生右侧肘关节内侧复合体脱位。初始评估后，进行了闭合复位。全身麻醉下检查时，肘关节在内外翻应力下不稳定。计算机断层扫描显示内上髁和冠状突骨折。采用内外侧入路固定髁上骨折块、冠状突骨折块和软组织的复杂损伤。用石膏固定 1 周，然后用动态矫形器早期活动，取得了良好的效果。2 年随访时，屈伸活动度为 110 度，旋前旋后活动度为 170 度。影像学检查未见明显关节炎或异位骨化。
