儿童伴有骨间后神经损伤的Ⅲ型孟氏骨折：一例报告
Type III Monteggia fracture with posterior interosseous nerve injury in a child: A case report.
作者信息
Wang Jing, Chen Min, Du Jiang
机构信息
Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, China.
出版信息
Medicine (Baltimore). 2017 Mar;96(11):e6377. doi: 10.1097/MD.0000000000006377.
RATIONALE
Elbow injury in children by improper treatment or a delay of more than 3 weeks could lead to old unreduced Monteggia fracture, which are difficult to manage. Conservative or normal surgical methods usually fail.
PATIENT CONCERNS
Herein, we present a 6-year-old boy with sustaining injury approximately 1 month to his left elbow. Activity in his elbow was restricted, and his ability to extend his wrist and fingers was impaired.
DIAGNOSES
Type III Monteggia elbow fracture-dislocation consisting of radial head dislocation and malunion of the ulna associated with posterior interosseous nerve palsy were confirmed, which requiring surgical treatment.
INTERVENTIONS
A closed reduction was performed with hyperplastic scar tissues erased and the radial head relocated.
OUTCOMES
Follow-up 4 months later showed satisfactory recovery of function.
LESSONS
Forearm fractures in children may be misjudged, and that early anatomical reduction rather than conservative treatment may be required.
理论依据
儿童肘部损伤若治疗不当或延误超过3周，可能导致陈旧性未复位孟氏骨折，处理起来较为困难。保守治疗或常规手术方法通常无效。
患者情况
在此，我们报告一名6岁男孩，其左肘部受伤约1个月。肘部活动受限，手腕和手指伸展能力受损。
诊断结果
确诊为Ⅲ型孟氏肘部骨折脱位，包括桡骨头脱位和尺骨畸形愈合，并伴有骨间后神经麻痹，需要手术治疗。
干预措施
进行了闭合复位，清除增生性瘢痕组织并使桡骨头复位。
结果
4个月后的随访显示功能恢复满意。
经验教训
儿童前臂骨折可能被误诊，可能需要早期解剖复位而非保守治疗。
Zotero 插件