Al-Sadek Tabet A, Niklev Desislav, Al-Sadek Ahmed
Department of Orthopaedics and Traumatology, Belhoul European Hospital, Dubai, United Arab Emirates.
Orthoapedic and Trauma Clinic, University Multiprofile Hospital for Active Treatment and Emergency Medicine 'N. Pirogov', Sofia, Bulgaria.
Open Access Maced J Med Sci. 2016 Dec 15;4(4):680-682. doi: 10.3889/oamjms.2016.133. Epub 2016 Nov 15.
Open supracondylar fractures of the humerus are rare in children, and the treatment strategy for these fractures is yet to be standardised.
We present the case of a 7-year-old boy with open supracondylar humerus fracture that was managed with an external wrist fixator.
A 7-year-boy was brought to our department with pain in the right arm after a fall from a height about 3 hours before admission. On examination, the elbow was found to be markedly swollen with restriction of movement of the right arm. A 4-cm-wide wound was also observed on the flexural aspect of the elbow, indicating severe contamination of the fractured site. Neurological examination revealed restriction of hand movement and decreased sensations, which suggested the possibility of nerve injuries.
A good clinical outcome was achieved in this case, without the development of any complications over a 6-month follow-up period.
儿童开放性肱骨髁上骨折较为罕见，此类骨折的治疗策略尚未标准化。
我们报告一例7岁男孩开放性肱骨髁上骨折，采用腕部外固定器治疗。
一名7岁男孩在入院前约3小时从高处坠落，右臂疼痛，被送至我科。检查发现肘部明显肿胀，右臂活动受限。肘部屈侧还可见一个4厘米宽的伤口，提示骨折部位严重污染。神经检查发现手部活动受限且感觉减退，提示可能存在神经损伤。
该病例取得了良好的临床效果，在6个月的随访期内未出现任何并发症。
