尺肱关节脱位，桡骨头关节完整：一种罕见的孟氏骨折变异型
Ulnohumeral dislocation despite intact radiocapitellar joint: a rare Monteggia variant.
作者信息
Ekholm Carl, Sampson Johan
机构信息
Department of Orthopaedics, Sahlgrenska University Hospital, Göteborg, Sweden.
出版信息
Shoulder Elbow. 2017 Jan;9(1):42-45. doi: 10.1177/1758573216673527. Epub 2016 Oct 13.
Abstract
We treated one patient with a mid-diaphyseal radius fracture and concomitant anteromedial facet fracture of the coronoid. The ulnohumeral joint was severely unstable by complete ligament detachment and interosseous membrane rupture. Despite this gross instability, the radiocapitellar was congruent and stable. The possible mechanism of radiocapitellar stability is discussed and the concept of concavity-compression stability across the radiocapitellar joint is emphasized.
摘要
我们治疗了一名患有桡骨干中段骨折并伴有冠状突前内侧小关节面骨折的患者。尺肱关节因韧带完全断裂和骨间膜破裂而严重不稳定。尽管存在这种严重的不稳定情况，但桡骨头关节面是一致且稳定的。本文讨论了桡骨头关节面稳定的可能机制，并强调了桡骨头关节面凹面-压缩稳定性的概念。
相似文献
1
Ulnohumeral dislocation despite intact radiocapitellar joint: a rare Monteggia variant.
Shoulder Elbow. 2017 Jan;9(1):42-45. doi: 10.1177/1758573216673527. Epub 2016 Oct 13.
2
A New Pediatric Monteggia Fracture Type 4 Variant.
J Orthop Case Rep. 2021 Oct;11(10):17-20. doi: 10.13107/jocr.2021.v11.i10.2448.
3
Posterior interosseous nerve palsy associated with neglected pediatric Monteggia fracture-dislocation: A case report.
Int J Surg Case Rep. 2016;27:102-106. doi: 10.1016/j.ijscr.2016.08.011. Epub 2016 Aug 26.
4
Fractures of the proximal ulna: current concepts in surgical management.
EFORT Open Rev. 2019 Jan 7;4(1):1-9. doi: 10.1302/2058-5241.4.180022. eCollection 2019 Jan.
5
A Complicated Course of a Coronal Shear Fracture Type IV of the Distal Part of Humerus Resulting in Resurfacing Radiocapitellar Joint Replacement.
Open Orthop J. 2017 Mar 31;11:248-254. doi: 10.2174/1874325001711010248. eCollection 2017.
6
The Posterior Bundle's Effect on Posteromedial Elbow Instability After a Transverse Coronoid Fracture: A Biomechanical Study.
J Hand Surg Am. 2018 Apr;43(4):381.e1-381.e8. doi: 10.1016/j.jhsa.2017.09.018. Epub 2017 Nov 2.
7
Posterior dislocation of the elbow with fractures of the radial head and coronoid.
J Bone Joint Surg Am. 2002 Apr;84(4):547-51. doi: 10.2106/00004623-200204000-00006.
8
Radial shortening osteotomy reduces radiocapitellar contact pressures while preserving valgus stability of the elbow.
Knee Surg Sports Traumatol Arthrosc. 2017 Jul;25(7):2280-2288. doi: 10.1007/s00167-017-4468-z. Epub 2017 Feb 25.
9
Isolated ligamentous injury can cause posteromedial elbow instability: a cadaveric study.
J Shoulder Elbow Surg. 2016 Dec;25(12):2019-2024. doi: 10.1016/j.jse.2016.04.022. Epub 2016 Jul 12.
10
The role of the posterior bundle of the medial collateral ligament in posteromedial rotatory instability of the elbow.
Bone Joint J. 2018 Aug;100-B(8):1060-1065. doi: 10.1302/0301-620X.100B8.BJJ-2017-0652.R2.
本文引用的文献
1
Divergent elbow dislocation with radial shaft fracture, distal ulnar deformation, and distal radioulnar joint instability: an unclassifiable Monteggia variant.
J Orthop Traumatol. 2014 Mar;15(1):63-7. doi: 10.1007/s10195-013-0239-x. Epub 2013 Apr 7.
2
An online video investigation into the mechanism of elbow dislocation.
J Hand Surg Am. 2013 Mar;38(3):488-94. doi: 10.1016/j.jhsa.2012.12.017. Epub 2013 Feb 5.
3
Effect of radial head malunion on radiocapitellar stability.
J Shoulder Elbow Surg. 2012 Jun;21(6):789-94. doi: 10.1016/j.jse.2011.12.001. Epub 2012 Apr 21.
4
Complex elbow dislocation associated with radial and ulnar diaphyseal fractures: a rare combination.
Strategies Trauma Limb Reconstr. 2011 Aug;6(2):97-101. doi: 10.1007/s11751-011-0112-5. Epub 2011 Jul 20.
5
Influence of prosthetic design on radiocapitellar concavity-compression stability.
J Shoulder Elbow Surg. 2011 Sep;20(6):885-90. doi: 10.1016/j.jse.2011.03.009. Epub 2011 Jun 11.
6
Elbow dislocations associated with ipsilateral radial shaft fractures: a case report and review of the literature.
J Trauma. 2008 Jan;64(1):221-4. doi: 10.1097/01.ta.0000235239.05979.d9.
7
Fracture of the anteromedial facet of the coronoid process.
J Bone Joint Surg Am. 2006 Oct;88(10):2216-24. doi: 10.2106/JBJS.E.01127.
8
Isolated radial shaft fractures are more common than Galeazzi fractures.
J Hand Surg Am. 2006 Jan;31(1):17-21. doi: 10.1016/j.jhsa.2005.09.003.
9
Posterior divergent dislocation of the elbow in children and adolescents: a report of three cases and review of the literature.
J Pediatr Orthop. 2005 May-Jun;25(3):317-21. doi: 10.1097/01.bpo.0000153877.20561.8a.
10
Difficult elbow fractures: pearls and pitfalls.
Instr Course Lect. 2003;52:113-34.
Zotero 插件