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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.

PMID:25612957
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。

相似文献

1
[Monteggia fractures in children can be overlooked].儿童孟氏骨折可能会被忽视。
Ugeskr Laeger. 2015 Jan 26;177(2A):36-7.
2
Monteggia fracture-dislocation in children. Late treatment in two cases.儿童孟氏骨折脱位。两例晚期治疗
J Bone Joint Surg Am. 1986 Apr;68(4):615-9.
3
Treatment of the missed Monteggia fracture in the child.儿童孟氏骨折漏诊的治疗。
J Bone Joint Surg Br. 1992 May;74(3):436-40. doi: 10.1302/0301-620X.74B3.1587897.
4
Anterior dislocation of the radial head with fractures of the olecranon and radial neck in a young child: a Monteggia equivalent fracture-dislocation variant.幼儿桡骨头前脱位合并尺骨鹰嘴和桡骨颈骨折:一种孟氏骨折脱位等效变异型。
J Orthop Trauma. 2005 Jul;19(6):425-8. doi: 10.1097/01.bot.0000177389.43178.e2.
5
Ulnar fracture with late radial head dislocation: delayed Monteggia fracture.尺骨骨折伴桡骨头晚期脱位:迟发性孟氏骨折。
Orthopedics. 2012 Mar 7;35(3):e434-7. doi: 10.3928/01477447-20120222-35.
6
Neglected Monteggia fracture dislocations in children: a systematic review.儿童孟氏骨折脱位的漏诊:一项系统评价
J Pediatr Orthop B. 2015 May;24(3):191-9. doi: 10.1097/BPB.0000000000000147.
7
Missed Monteggia fracture dislocation in children.儿童孟氏骨折脱位漏诊
Injury. 1997 Mar;28(2):131-3. doi: 10.1016/s0020-1383(96)00160-x.
8
Combined Monteggia and Galeazzi fractures in a child: a case report and review of the literature.儿童孟氏骨折合并盖氏骨折:1例病例报告及文献复习
J Orthop Trauma. 2003 Feb;17(2):128-31. doi: 10.1097/00005131-200302000-00010.
9
Monteggia type IV fracture in a child with radial head dislocation irreducible by closed means: a case report.儿童孟氏IV型骨折伴闭合手法复位不可复性桡骨头脱位:1例报告
BMC Res Notes. 2014 Aug 16;7:539. doi: 10.1186/1756-0500-7-539.
10
[Monteggia injuries in childhood].儿童孟氏骨折
Handchir Mikrochir Plast Chir. 2000 Jul;32(4):260-70. doi: 10.1055/s-2000-10928.

引用本文的文献

1
What do we need to address when we treat neglected Monteggia fracture in children.治疗儿童陈旧性孟氏骨折时我们需要关注哪些方面?
Front Pediatr. 2024 Aug 29;12:1430549. doi: 10.3389/fped.2024.1430549. eCollection 2024.
2
Clinical effect of manual reduction of humeroradial joint in the treatment of type Ⅰ-Ⅲ fresh Monteggia fracture in children.手法复位肱桡关节在儿童Ⅰ-Ⅲ型新鲜孟氏骨折治疗中的临床疗效
Chin J Traumatol. 2020 Aug;23(4):233-237. doi: 10.1016/j.cjtee.2020.05.004. Epub 2020 May 22.