肘关节前脱位——一例罕见损伤的病例报告
Anterior Dislocation of Elbow Joint-Case Report of A Rare Injury.
作者信息
Kumar Rakesh, Sekhawat Vishal, Sankhala S S, Bijarnia Isha
机构信息
Department of Orthopaedics, SMS Medical college& hospital, Jaipur, Rajasthan. India.
Department of Orthopaedics, MAMC. Delhi. India.
出版信息
J Orthop Case Rep. 2014 Jul-Sep;4(3):16-8. doi: 10.13107/jocr.2250-0685.186.
INTRODUCTION
In view of the comparative frequency of posterior dislocations of the elbow, it is rather remarkable that anterior dislocations of that joint should be among the rarest of injuries. Authors report a case of acute anterior dislocation with old fracture of medial epicondyle.
CASE REPORT
22 years old male presented with acute pain and tenderness with deformity of right elbow joint and inability to move the elbow joint after he fell down during an episode of seizure. There was no neurovascular deficit. Radiological examination confirmed anterior dislocation of elbow joint with an ununited medial epicondyle fracture. Elbow was reduced under general anesthesia in emergency operation theatre.
CONCLUSION
Anterior dislocation of elbow is very rare. Early diagnosis and proper reduction of dislocation is key of normal functioning of elbow joint.
引言
鉴于肘关节后脱位的相对发生率，该关节的前脱位竟然是最罕见的损伤之一，这相当令人瞩目。作者报告一例急性前脱位合并内侧髁陈旧性骨折的病例。
病例报告
一名22岁男性在癫痫发作期间摔倒后，出现右肘关节急性疼痛、压痛、畸形，且无法活动肘关节。无神经血管功能障碍。影像学检查证实肘关节前脱位合并内侧髁骨折不愈合。在急诊手术室全身麻醉下对肘关节进行了复位。
结论
肘关节前脱位非常罕见。早期诊断和正确复位脱位是肘关节正常功能的关键。
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