Obiltschnig A, Klestil T
Sanatorium Villach, Osterreich.
Unfallchirurgie. 1990 Oct;16(5):225-9. doi: 10.1007/BF02589874.
Anatomy, injury-mechanism and classification will be illustrated with a casuistry of the rate isolated luxation of the ulnar head. Diagnosis is established clinically and with comparative X-rays. In our case the luxation was irresponsible in general anaesthesia and had to be succeeded by open reposition with temporary pin-fixation. Postoperatively a cast up to the upper arm is necessary for six weeks. With the removal of the plaster the wire pins also must be immediately withdrawn, as to evade complications like fatigue-breakage of the implanted material. With adherence to this therapeutic scheme operative treatment is not problematic and - by means of posttraumatic physical therapy - shows a good functional result.
将通过尺骨头单纯性脱位的病例分析来说明其解剖结构、损伤机制和分类。临床诊断及通过对比X线片进行确诊。在我们的病例中,该脱位在全身麻醉下复位失败,不得不通过切开复位并临时钢针固定来完成。术后需要用石膏固定上臂六周。拆除石膏时,必须立即拔出钢针,以避免植入材料出现疲劳断裂等并发症。遵循这一治疗方案,手术治疗并不困难,并且通过创伤后物理治疗,可获得良好的功能恢复效果。