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高能创伤后反复出现的浮动肘关节损伤。

Repeated floating elbow injury after high-energy trauma.

作者信息

Galasso Olimpio, Mariconda Massimo, Gasparini Giorgio

出版信息

Strategies Trauma Limb Reconstr. 2011 Apr;6(1):33-7. doi: 10.1007/s11751-011-0102-7. Epub 2011 Jan 14.

DOI:10.1007/s11751-011-0102-7
PMID:21589680
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3058185/
Abstract

UNLABELLED

The floating elbow is an uncommon injury occurring both in children and in adults. Two reports of rare variants of floating elbow injury have been published, but to the best of our knowledge, no recurrence of this injury has been described. We present a complex pattern of floating injury, occurring in the same limb 3 years after a floating elbow lesion, which included supracondylar fracture of the humerus and associated ipsilateral midshaft fracture of forearm bones. Satisfactory outcomes were finally obtained. This clinical case illustrates the importance of carefully assessing floating elbow injuries when they occur to optimize the surgical strategies and the adequate timing of the treatment. A comprehensive literature review of the floating elbow injuries is here reported.

ELECTRONIC SUPPLEMENTARY MATERIAL

The online version of this article (doi:10.1007/s11751-011-0102-7) contains supplementary material, which is available to authorized users.

摘要

未标注

浮动肘是一种在儿童和成人中均不常见的损伤。已有两篇关于浮动肘损伤罕见变异型的报道,但据我们所知,尚未有该损伤复发的描述。我们报告了一例复杂的浮动损伤模式,发生在浮动肘损伤3年后的同一肢体,包括肱骨髁上骨折及同侧前臂骨中段骨折。最终获得了满意的结果。该临床病例说明了在浮动肘损伤发生时仔细评估的重要性,以优化手术策略和确定适当的治疗时机。本文报道了对浮动肘损伤的全面文献综述。

电子补充材料

本文的在线版本(doi:10.1007/s11751-011-0102-7)包含补充材料,授权用户可获取。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f05/3058185/4c264b23895d/11751_2011_102_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f05/3058185/678f8c9945da/11751_2011_102_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f05/3058185/9ecc7c98cf47/11751_2011_102_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f05/3058185/efb83fede572/11751_2011_102_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f05/3058185/f6def7cdfde1/11751_2011_102_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f05/3058185/4c264b23895d/11751_2011_102_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f05/3058185/678f8c9945da/11751_2011_102_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f05/3058185/9ecc7c98cf47/11751_2011_102_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f05/3058185/efb83fede572/11751_2011_102_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f05/3058185/f6def7cdfde1/11751_2011_102_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f05/3058185/4c264b23895d/11751_2011_102_Fig5_HTML.jpg

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引用本文的文献

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Int J Surg Case Rep. 2025 Aug;133:111627. doi: 10.1016/j.ijscr.2025.111627. Epub 2025 Jul 8.
2
Floating Elbow in Adults: A Systematic Review and Meta-Analysis.成人漂浮肘:系统评价与Meta分析
Orthop Rev (Pavia). 2022 Jan 29;14(1):31843. doi: 10.52965/001c.31843. eCollection 2022.
3
The term "floating" used in traumatic orthopedics.创伤骨科中使用的“浮动”一词。

本文引用的文献

1
Floating dislocated elbow: a variant with articular fracture of the humerus.漂浮性肘关节脱位:一种合并肱骨关节面骨折的变异类型。
J Trauma. 2006 Feb;60(2):421-2. doi: 10.1097/01.ta.0000203569.57055.90.
2
Hardware removal: indications and expectations.硬件移除:适应症与预期效果
J Am Acad Orthop Surg. 2006 Feb;14(2):113-20. doi: 10.5435/00124635-200602000-00006.
3
Development and validation of an elbow score.肘部评分系统的开发与验证
Medicine (Baltimore). 2019 Feb;98(7):e14497. doi: 10.1097/MD.0000000000014497.
4
Combined Ipsilateral Humeral Shaft and Galeazzi Fractures Creating a Floating Elbow Variant.同侧肱骨干骨折合并盖氏骨折形成漂浮肘变异型
Case Rep Orthop. 2018 Nov 8;2018:7430297. doi: 10.1155/2018/7430297. eCollection 2018.
5
Analysis of complications after a floating elbow injury.漂浮肘损伤后并发症的分析
Eur J Orthop Surg Traumatol. 2017 Jul;27(5):607-615. doi: 10.1007/s00590-016-1866-8. Epub 2016 Oct 13.
Rheumatology (Oxford). 2004 Nov;43(11):1434-40. doi: 10.1093/rheumatology/keh367. Epub 2004 Aug 10.
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A review of outcomes in 18 patients with floating elbow.18例漂浮肘患者的预后回顾。
J Orthop Trauma. 2003 Sep;17(8):563-70. doi: 10.1097/00005131-200309000-00004.
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Functional outcomes of "floating elbow" injuries in adult patients.成年患者“漂浮肘”损伤的功能预后
J Orthop Trauma. 1998 May;12(4):284-90. doi: 10.1097/00005131-199805000-00012.
6
Ipsilateral humeral shaft and Galeazzi fractures with a posterolateral dislocation of the elbow: a variant of the "floating dislocated elbow.".同侧肱骨干骨折合并盖氏骨折伴肘关节后外侧脱位:“漂浮性肘关节脱位”的一种变异类型。
J Trauma. 1997 Aug;43(2):349-52. doi: 10.1097/00005373-199708000-00024.
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Complex fracture patterns of the upper extremity.
Clin Orthop Relat Res. 1995 Sep(318):43-53.
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The 'floating elbow' in children. Simultaneous supracondylar fractures of the humerus and of the forearm in the same upper limb.儿童“漂浮肘”。同一上肢肱骨髁上骨折与前臂骨折同时发生。
J Bone Joint Surg Br. 1995 Sep;77(5):791-6.
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Simultaneous ipsilateral fractures of the arm and forearm in children.儿童同侧手臂和前臂骨折
Clin Orthop Relat Res. 1980 Nov-Dec(153):218-22.
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Management of concomitant ipsilateral fractures of the humerus and forearm.肱骨和前臂同侧合并骨折的处理
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