Jadaan Mutaz, Jain Sumit Kumar, Ahmed Aftab, Khayyat Gus
Trauma and Orthopaedics Unit, Our Lady of Lourdes Hospital, Drogheda, Ireland.
Department of Orthopaedics, University College and hospital, Galway, Ireland.
J Orthop Case Rep. 2014 Jul-Sep;4(3):9-11. doi: 10.13107/jocr.2250-0685.184.
Traumatic dislocation of the radial head in paediatric population is a well described injury, it is usually associated with an injury to the ulna in the Monteggia lesion (1), but can occur as an isolated injury also (2,3).
A 4.5 year old girl presented to emergency department with her right upper limb held in pronation and flexion following isolated closed injury. Roentgenograms showed oblique fracture of the radial shaft and dislocation of radial head. She underwent nailing of the radial shaft and open reduction of the radial head. After 4 months, the fracture healed fully and she had full range of elbow movements.
Ipsilateral radial head dislocation and radial shaft fracture is extremely rare injury in a child. A good outcome can be achieved by applying principles of management of proximal forearm fracture-dislocation.
小儿桡骨头外伤性脱位是一种已被充分描述的损伤，通常与孟氏损伤中的尺骨损伤相关（1），但也可单独发生（2,3）。
一名4.5岁女孩因单纯闭合性损伤后右上肢处于旋前和屈曲位而就诊于急诊科。X线片显示桡骨干斜形骨折及桡骨头脱位。她接受了桡骨干髓内钉固定及桡骨头切开复位术。4个月后，骨折完全愈合，她的肘关节活动范围正常。
儿童同侧桡骨头脱位合并桡骨干骨折极为罕见。应用前臂近端骨折脱位的处理原则可取得良好疗效。
