Galanopoulos Ilias, Fogg Quentin, Ashwood Neil, Fu Katherine
Department of Trauma and Orthopaedics, Queen's Hospital, Burton-on-Trent, UK.
BMJ Case Rep. 2012 Aug 18;2012:bcr2012006395. doi: 10.1136/bcr-2012-006395.
We present the case of a 14-year-old boy with a right distal radial fracture accompanied by a severely displaced complete distal ulnar physeal separation and associated median nerve compromise. This injury is known as Galeazzi-equivalent lesion in children and is an extremely rare injury associated with growth arrest. Recognition of the lesion can be difficult but wide displacement may be associated with other significant injuries such as neurovascular compromise. Prompt intervention reversed the neurological symptoms. At 10-month postoperation there was neither growth arrest nor loss of motion. Complete separation of the ulna physis remains often because of soft tissue interposition or capsule problems and prompt reduction is recommended in the literature as a priority.
我们报告一例14岁男孩，患有右桡骨远端骨折，伴有严重移位的尺骨远端完全骨骺分离及相关的正中神经损伤。这种损伤在儿童中被称为类盖氏损伤，是一种极其罕见且与生长停滞相关的损伤。认识这种损伤可能很困难，但严重移位可能与其他重大损伤如神经血管损伤有关。及时干预使神经症状得到缓解。术后10个月，既没有生长停滞也没有活动受限。尺骨骨骺的完全分离常因软组织嵌入或关节囊问题而持续存在，文献中建议优先进行及时复位。
