Mirouse G, Corcos P, Casabianca L, Guillon P
Service de chirurgie orthopédique et traumatologique, CHI Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.
Service de chirurgie orthopédique et traumatologique, CHI Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.
Chir Main. 2014 Feb;33(1):63-6. doi: 10.1016/j.main.2013.11.005. Epub 2013 Dec 12.
We report the occurrence of a rare injury in a teenager not yet described in the literature: the association of posteromedial elbow dislocation, lateral condyle and coronoid process fractures. The treatment required fixation of lateral condyle and coronoid process thanks to lateral and medial approaches and capsular fixation. This lesion is unstable, such as the terrible triad described in adults. It requires external and anterior stabilization of the elbow. The management of such injuries of the elbow is complex. It must consider both bone and ligament instability, and risk of injury to growth plates.
肘后内侧脱位、外侧髁和冠状突骨折的联合损伤。由于采用了外侧和内侧入路以及关节囊固定,治疗需要对外侧髁和冠状突进行固定。这种损伤是不稳定的,如同成人中描述的“可怕三联征”。它需要对肘部进行外部和前方稳定。肘部此类损伤的处理很复杂。必须同时考虑骨骼和韧带的不稳定以及生长板损伤的风险。