Michaels M G
Department of Pediatrics, Children's Hospital, Philadelphia, PA.
Pediatr Emerg Care. 1989 Dec;5(4):226-7. doi: 10.1097/00006565-198912000-00006.
Although the case presented was easily treated, it caused anguish and expense that might have been avoided had the diagnosis been entertained initially. Considering the high frequency of occurrence, radial head subluxation should be thought of in young children with upper extremity injuries, typical posturing, and no other evidence of trauma or deformity. A suggestive history should be sought, and an attempt to reduce the subluxation should be made. Parents and caretakers should be advised about the potential for recurrence of this injury, as well as the dangers of sudden traction on a child's arm.
尽管所呈现的病例易于治疗,但它造成了痛苦和费用,如果最初就考虑到诊断,这些本可避免。鉴于桡骨头半脱位的高发生率,对于有上肢损伤、典型姿势且无其他创伤或畸形证据的幼儿,应考虑到桡骨头半脱位。应询问提示性病史,并尝试复位半脱位。应告知家长和看护人这种损伤复发的可能性,以及突然牵拉儿童手臂的危险性。