Jennings John D, Hahn Alexander, Rehman Saqib, Haydel Christopher
Department of Orthopedic Surgery and Sports Medicine, Temple University Hospital, 3501 North Broad Street, Philadelphia, PA 19140, USA.
Department of Orthopedic Surgery and Sports Medicine, Temple University School of Medicine, 3501 N. Broad St, Philadelphia, PA 19102, USA.
Orthop Clin North Am. 2016 Jan;47(1):97-113. doi: 10.1016/j.ocl.2015.08.001.
Elbow fracture dislocations are complicated injuries that are difficult to manage and fraught with complications. A complete series of radiographs is typically complemented with CT scan to evaluate the elbow and assist preoperative planning. Typically, operative intervention is necessary and a systematic approach to the elbow injuries should be chosen. This article addresses the coronoid and proceeds to the radial head, lateral soft tissues, and finally the medial ligaments if elbow instability persists. With a focused, systematic surgical approach, improved outcomes have been demonstrated and patients may recover full function and range of motion in the affected elbow.
肘关节骨折脱位是复杂的损伤,难以处理且充满并发症。通常,一系列完整的X线片会辅以CT扫描来评估肘关节并协助术前规划。一般而言,手术干预是必要的,并且应选择一种系统的方法来处理肘关节损伤。本文先讨论冠突,接着是桡骨头、外侧软组织,最后如果肘关节仍不稳定则讨论内侧韧带。通过一种有针对性的、系统的手术方法,已证明能取得更好的结果,患者受影响的肘关节可能恢复全部功能和活动范围。