Parikh Shital N, Lykissas Marios G, Mehlman Charles T, Sands Steven, Herrera-Soto Jose, Panchal Anand, Crawford Alvin H
aDivision of Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio bDivision of Pediatric Orthopedic Surgery, Arnold Palmer Hospital for Children, Orlando, Florida, USA.
J Pediatr Orthop B. 2014 Mar;23(2):158-67. doi: 10.1097/01.bpb.0000434242.64440.5a.
Convergent and divergent pediatric elbow dislocations are rare injuries. When properly diagnosed and treated without delay, both types of dislocations have a good prognosis. We describe a case of convergent elbow dislocation in a 16-year-old boy. The patient underwent operative intervention and demonstrated full range of motion at the 4-year follow-up. Our second case describes an 11-year-old boy with a divergent elbow dislocation associated with an ipsilateral distal radius fracture and distal radioulnar joint dislocation. The patient showed full range of motion 1 year after closed reduction and casting and had no residual deformities or abnormalties.
儿童肘关节汇聚型和分离型脱位是罕见的损伤。如果能及时正确诊断和治疗，这两种脱位的预后都较好。我们报告一例16岁男孩的肘关节汇聚型脱位病例。该患者接受了手术干预，在4年随访时关节活动度恢复正常。我们的第二个病例是一名11岁男孩，患有肘关节分离型脱位并伴有同侧桡骨远端骨折和下尺桡关节脱位。该患者在闭合复位及石膏固定1年后关节活动度恢复正常，且无残留畸形或异常。
