伴有桡骨骨干骨折、尺骨远端变形和下尺桡关节不稳定的肘关节脱位：一种不可分类的孟氏骨折变异型。
Divergent elbow dislocation with radial shaft fracture, distal ulnar deformation, and distal radioulnar joint instability: an unclassifiable Monteggia variant.
机构信息
Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, UMDNJ-New Jersey Medical School, Newark, NJ, USA.
出版信息
J Orthop Traumatol. 2014 Mar;15(1):63-7. doi: 10.1007/s10195-013-0239-x. Epub 2013 Apr 7.
Abstract
Originally described by Monteggia and later classified by Bado, elbow dislocations with concurrent radial and ulnar shaft fractures with distal radioulnar joint (DRUJ) disruption are considered operative cases with high-energy injurious etiologies. Here, we present an unclassifiable Monteggia variant fracture suffered through a high axial load mechanism in a 47-year-old female. The fracture pattern initially exhibited included a divergent elbow dislocation, a radial shaft fracture, plastic deformation of the distal ulna, and DRUJ instability. Here we describe the pattern in detail, along with definitive treatment and clinical outcome at 1 year follow-up.
摘要
最初由 Monteggia 描述，后来由 Bado 分类，伴有桡骨和尺骨干骨折的肘关节脱位，伴有远端桡尺关节 (DRUJ) 脱位，被认为是高能损伤病因的手术病例。在这里，我们介绍了一种不可分类的 Monteggia 变异型骨折，发生在一名 47 岁女性，机制为高轴向负荷。最初表现出的骨折模式包括肘脱位、桡骨干骨折、尺骨远端塑性变形和 DRUJ 不稳定。在这里，我们详细描述了这种模式，以及 1 年随访时的明确治疗和临床结果。
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