Lim Kevin Boon Leong, Woo Chin Yee, Chong Xue Ling, Ul-Alam Shehab, Allen John C
aDepartment of Orthopaedic Surgery, KK Women's & Children's Hospital bOffice of Clinical Sciences, Centre for Quantitative Medicine, Duke-NUS Graduate Medical School, Singapore, Singapore.
J Pediatr Orthop B. 2015 May;24(3):184-90. doi: 10.1097/BPB.0000000000000136.
This study explores the change in the position of the fragment in isolated, displaced, medial humeral epicondyle fractures in children. In this series, 34 patients (mean age 11.0 years) were treated nonoperatively by cast immobilization with no attempt at closed fracture reduction. A statistically significant association was found between the position of the fracture fragment at the time of initial fracture compared with 3 weeks after fracture (P=0.015). Twenty-six of 34 patients (76.5%) showed spontaneous improvement in fragment position. These findings support the practice of treating significantly displaced medial epicondyle fractures nonoperatively.
本研究探讨儿童孤立性、移位性肱骨内上髁骨折碎片位置的变化。在该系列研究中，34例患者（平均年龄11.0岁）采用石膏固定非手术治疗，未尝试进行闭合性骨折复位。结果发现，骨折初始时骨折碎片的位置与骨折后3周时相比，存在统计学上的显著关联（P = 0.015）。34例患者中有26例（76.5%）骨折碎片位置出现自发改善。这些发现支持对明显移位的肱骨内上髁骨折采用非手术治疗的做法。
