Kaas Laurens, Struijs Peter A A
Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam, The Netherlands,
Strategies Trauma Limb Reconstr. 2012 Apr;7(1):39-44. doi: 10.1007/s11751-011-0126-z. Epub 2012 Jan 6.
Congenital dislocation of the radial head is rare, although it is the most common congenital anomaly of the elbow. A concomitant progressive cubitus valgus of the elbow has not previously been described in literature. We describe a case of an 8-year-old girl with an unilateral congenital radial head dislocation with a progressive cubitus valgus of 35°, caused by a prematurely closing physis of the lateral humeral condyle. This might be caused by an increased pressure on the lateral physis by the anteriorly dislocated radial head. As no complaints or limitations were present, treatment was non-operative with clinical observation, with satisfactory results after a follow-up of 18 months. A concomitant progressive cubitus valgus can be present in patients with a congenital radial head dislocation. Non-operative treatment can provide satisfactory results.
先天性桡骨头脱位较为罕见,尽管它是肘部最常见的先天性异常。此前文献中尚未描述过伴有肘部逐渐加重的肘外翻情况。我们报告一例8岁女孩,她单侧先天性桡骨头脱位,伴有35°的逐渐加重的肘外翻,这是由肱骨外侧髁骨骺过早闭合所致。这可能是由于向前脱位的桡骨头对外侧骨骺的压力增加所致。由于没有症状或功能受限,治疗采用非手术方式并进行临床观察,随访18个月后结果满意。先天性桡骨头脱位患者可能会伴有逐渐加重的肘外翻。非手术治疗可取得满意效果。