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桡骨头同侧脱位合并桡骨远端骨折:1例病例报告及文献复习

Ipsilateral dislocation of the radial head associated with fracture of distal end of the radius: a case report and review of the literature.

作者信息

Gupta Vinay, Kundu Zile-Singh, Kaur Maneet, Kamboj Pradeep, Gawande Jitesh

机构信息

Department of Orthopaedics, Fortis Healthcare, Mohali, Punjab 160062, Inida.

出版信息

Chin J Traumatol. 2013;16(3):182-5.

Abstract

Dislocation of the radial head in adults is uncommon. A simultaneous dislocation of the radial head and fracture of the ipsilateral distal end of radius with no other associated injuries is extremely rare. As far as we know, such an injury after an unusual mode of injury has been seldom reported in the English literature. We report such a case without any associated injuries or comorbidity. Closed reduction was performed within two hours after injury and results were satisfactory. Immobilisation was continued for 3 weeks. Gradual mobilisation was started after removal of the plaster under the supervision of a physiotherapist. At 6 months'follow-up, the patient had no residual pain at the elbow with full flexion and extension. Almost full supination with a restriction of last 10 degrees of pronation was achieved. There was no evidence of instability of the elbow.

摘要

成人桡骨头脱位并不常见。桡骨头同时脱位且同侧桡骨远端骨折而无其他相关损伤的情况极为罕见。据我们所知,这种由不寻常损伤方式导致的损伤在英文文献中鲜有报道。我们报告这样一例无任何相关损伤或合并症的病例。受伤后两小时内进行了闭合复位,结果令人满意。固定持续了3周。拆除石膏后在物理治疗师的监督下开始逐渐活动。在6个月的随访中,患者肘部无残留疼痛,屈伸功能完全正常。旋后功能几乎完全恢复,旋前功能受限最后10度。没有证据表明肘部存在不稳定。

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