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儿童孟氏骨折可能会被忽视。

[Monteggia fractures in children can be overlooked].

作者信息

Abood Ahmed Abdul-Hussein, Møller-Madsen Bjarne, Rahbek Ole

机构信息

Børneortopædisk Afdeling, Aarhus Universitetshospital, Nørrebrogade 44, 8000 Aarhus C.

出版信息

Ugeskr Laeger. 2015 Jan 26;177(2A):36-7.

Abstract

Monteggia fractures in children are rare fractures presenting with anterior radial head dislocation and ulnar bowing in typical cases. In adulthood, pain, instability, deformity, loss of power and range of motion in the elbow joint are experienced. Early treatment is crucial, since the prognosis is depending on the time delay from injury to treatment. Full forearm X-rays including the elbow joint in two perpendicular projections are highly recommended in order to achieve an exact diagnosis without delay.

摘要

儿童孟氏骨折是一种罕见骨折,典型病例表现为桡骨头前脱位和尺骨弓形弯曲。在成年期,会出现肘关节疼痛、不稳定、畸形、力量丧失和活动范围受限等症状。早期治疗至关重要,因为预后取决于受伤至治疗的时间延迟。强烈建议进行包括肘关节在内的全前臂X线检查,采用两个相互垂直的投照体位,以便及时准确地做出诊断。

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