Haflah Nor Hazla Mohamed, Ibrahim Sharaf, Sapuan Jamari, Abdullah Shalimar
Department of Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Cheras, Kuala Lumpur, Malaysia.
J Pediatr Orthop B. 2010 Sep;19(5):459-61. doi: 10.1097/BPB.0b013e32833b6032.
Elbow dislocations associated with a medial epicondyle fracture and ulnar nerve palsy are uncommon injuries. We present the case of an 11-year-old girl with an elbow dislocation treated by closed manual reduction. The medial epicondyle fracture was missed initially until she developed an ulnar nerve palsy 2 months later. Intraoperatively we discovered the bony epicondyle piercing the joint capsule and compressing the ulnar nerve. Removal of the bony fragment relieved her symptoms and she returned to normal activities at 1 year follow-up. We would like to highlight this rare occurrence and present the detailed history and management of this case.
伴有内侧髁上骨折和尺神经麻痹的肘关节脱位是罕见的损伤。我们报告一例11岁女孩肘关节脱位，采用闭合手法复位治疗。最初漏诊了内侧髁上骨折，直到2个月后她出现尺神经麻痹。术中我们发现骨髁刺穿关节囊并压迫尺神经。去除骨碎片后症状缓解，随访1年时她恢复了正常活动。我们想强调这种罕见情况，并介绍该病例的详细病史及治疗情况。
