Ho Christine A
Department of Orthopaedics, Texas Scottish Rite Hospital, University of Texas Southwestern Medical School, Dallas, TX.
J Pediatr Orthop. 2017 Sep;37 Suppl 2:S37-S41. doi: 10.1097/BPO.0000000000001025.
Although cubitus varus has been regarded as a purely cosmetic problem in the pediatric population, symptomatic elbow instability, and ulnar neuropathy from the mechanical axis malalignment have been reported in adults. This overview discusses the biomechanical axis disruption that leads to soft tissue and morphologic bony alterations in the elbow and offers a compelling argument for corrective osteotomy to treat pediatric cubitus varus.
尽管在儿童群体中,肘内翻一直被视为纯粹的美容问题,但在成人中,已有报道称存在症状性肘关节不稳定以及因机械轴排列不齐导致的尺神经病变。本综述讨论了导致肘部软组织和形态学骨改变的生物力学轴破坏,并为矫正截骨术治疗儿童肘内翻提供了有力论据。