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小儿肘关节脱位的治疗结果

Outcomes of Paediatric Elbow Dislocations.

作者信息

Kaziz H, Naouar N, Osman W, Ayeche Mlb

机构信息

Sahloul Sousse University Hospital, Sahloul Sousse, Tunisia.

出版信息

Malays Orthop J. 2016 Mar;10(1):44-49. doi: 10.5704/MOJ.1603.008.

DOI:10.5704/MOJ.1603.008
PMID:28435546
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5333702/
Abstract

UNLABELLED

Elbow dislocations are uncommon in children. The treatment and outcomes remains controversial.

MATERIALS AND METHODS

We report retrospectively the clinical and functional results of elbow dislocations in children treated in Sahloul University Hospital. Both isolated or pure dislocations and those associated with other injuries were evaluated separately. Forty-eight children were selected based on inclusion criteria. All were unilateral injuries. Pure dislocations were observed in 19 cases, out of which according to the Robert's criteria, 13 children (68%) had excellent, three (15%) good, two (10%) fair, and one (7%)poor outcome. Out of the 29 elbow dislocations associated with other injuries, 3 (10%) had excellent, 4 (13%) good, 8 (27%) fair and 14 (50%) poor result. Reviewing the functional results, better range of motion was found in elbows with pure dislocation compared to those with associated injuries. Prolonged follow-up and effective rehabilitation programs are required for good outcomes.

摘要

未标注

儿童肘部脱位并不常见。其治疗方法及结果仍存在争议。

材料与方法

我们回顾性报告了在萨赫勒大学医院接受治疗的儿童肘部脱位的临床及功能结果。单纯脱位或纯脱位以及合并其他损伤的脱位分别进行评估。根据纳入标准选取了48名儿童。所有均为单侧损伤。观察到19例单纯脱位，根据罗伯特标准，其中13名儿童（68%）预后极佳，3名（15%）良好，2名（10%）尚可，1名（7%）较差。在29例合并其他损伤的肘部脱位中，3例（10%）预后极佳，4例（13%）良好，8例（27%）尚可，14例（50%）较差。回顾功能结果发现，与合并其他损伤的肘部相比，单纯脱位的肘部活动范围更好。为获得良好结果，需要延长随访时间并实施有效的康复计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfd1/5333702/a32470160994/moj-10-044-f9.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfd1/5333702/5c0c556a5a57/moj-10-044-f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfd1/5333702/5dc2d4c0f31a/moj-10-044-f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfd1/5333702/a32470160994/moj-10-044-f9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfd1/5333702/577f972f53c9/moj-10-044-f1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfd1/5333702/d375c4d4dff8/moj-10-044-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfd1/5333702/20b76f0f505c/moj-10-044-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfd1/5333702/cb8c68caadcc/moj-10-044-f6.jpg
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