一名9岁儿童单纯性肘关节外侧脱位：罕见病例报告
Isolated Pure Lateral Dislocation of Elbow in a 9-year-old Child: A Rare Case Report.
作者信息
Kushwaha Sudhir Shyam, Kumar Madhuresh, Shantanu Kumar, Kumar Deepak
机构信息
Department of Orthopaedics, Era's Lucknow Medical College, Lucknow, Uttar Pradesh. India.
Department of Orthopaedics, King George's Medical University, Lucknow, Uttar Pradesh. India.
出版信息
J Orthop Case Rep. 2017 Sep-Oct;7(5):89-91. doi: 10.13107/jocr.2250-0685.910.
INTRODUCTION
Dislocations of elbow constitute about 3-6% of all injuries occurring around elbow in children. Posterior dislocations are the most common type, whereas other types of dislocations, especially lateral dislocation in a child are extremely rare.
CASE REPORT
A 9-year-old boy with a history of trauma presented with complaints of pain, swelling, and difficulty to move his left elbow. Radiographs revealed lateral dislocation of elbow associated with avulsion of medial condyle. Closed reduction was done successfully under short general anesthesia.
CONCLUSION
Pure lateral dislocation of the elbow is rare in pediatric age group. Lateral elbow dislocation is mostly managed surgically, but a chance of conservative management should be given before surgery.
引言
儿童肘部脱位约占肘部周围所有损伤的3% - 6%。后脱位是最常见的类型，而其他类型的脱位，尤其是儿童的外侧脱位极为罕见。
病例报告
一名有外伤史的9岁男孩，主诉左肘部疼痛、肿胀及活动困难。X线片显示肘部外侧脱位伴内髁撕脱。在短暂全身麻醉下成功进行了闭合复位。
结论
小儿年龄组中单纯肘部外侧脱位罕见。肘部外侧脱位大多需手术治疗，但在手术前应给予保守治疗的机会。
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