Moon Edward S, Howlett John, Wiater Brett P, Trumble Thomas E
Department of Orthopaedic Surgery, University of Washington Medical Center, Seattle, WA 98104, USA.
J Hand Surg Am. 2011 Apr;36(4):639-46. doi: 10.1016/j.jhsa.2010.11.042. Epub 2011 Feb 25.
Plastic deformation of the forearm is a rare injury in young adults that occurs when a slow bending or rotational force is applied to the arm, most commonly in the setting of an industrial workplace accident. There are currently no guidelines for treatment of the residual forearm deformity that often results in limitations of forearm supination and pronation. We present 2 cases demonstrating that deformity correction with single cortex, double-level osteotomies combined with rigid plate fixation and early range of motion exercise that results in good functional outcomes.
前臂塑性变形在年轻成年人中是一种罕见的损伤,当手臂受到缓慢的弯曲或旋转力时发生,最常见于工业工作场所事故中。目前对于常导致前臂旋前和旋后受限的残留前臂畸形尚无治疗指南。我们报告2例病例,表明采用单皮质、双平面截骨术联合坚强钢板固定及早期活动度锻炼进行畸形矫正可取得良好的功能结果。