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一种不寻常的类孟氏1型损伤:儿童尺骨干和桡骨干骨折伴肘关节后脱位。

An unusual Monteggia equivalent type 1 lesion: Diaphyseal ulna and radius fractures with a posterior elbow dislocation in a child.

作者信息

Hassini Lassaad, Saidi Aymen, Touati Boujemaa, Ben Fradj Aymen, Aloui Issam, Abid Abderrazek

机构信息

Department of Orthopaedic Surgery, University Hospital, 5000 Monastir, Tunisia.

Department of Orthopaedic Surgery, University Hospital, 5000 Monastir, Tunisia.

出版信息

Chin J Traumatol. 2018 Apr;21(2):122-124. doi: 10.1016/j.cjtee.2017.12.002. Epub 2018 Feb 20.

Abstract

In this report, we describe an extremely unusual Monteggia equivalent type 1 lesion in a 10-year-old boy following a fall from a height of 1 m. On the plain radiographs, our patient had a particular Monteggia equivalent type 1 injury associating a posterior elbow dislocation with diaphyseal radius and ulna fractures. The patient was treated by closed reduction technique. At six months of follow-up, the fractures were consolidated and the elbow was stable. To our knowledge, only 8 adult cases and one paediatric observation with similar lesions had been reported through medical literature. Therefore, the aim of our case report is to remind this rare entity and also to provide a comprehensive review of the literature related to this uncommon lesion.

摘要

在本报告中,我们描述了一名10岁男孩从1米高处坠落之后出现的极为罕见的1型类孟氏骨折损伤。在X线平片上,我们的患者出现了一种特殊的1型类孟氏骨折损伤,伴有肘关节后脱位以及桡骨干和尺骨干骨折。患者接受了闭合复位技术治疗。随访6个月时,骨折已愈合,肘关节稳定。据我们所知,医学文献中仅报道过8例成人病例和1例有类似损伤的儿科观察病例。因此,我们撰写本病例报告的目的是提醒大家注意这种罕见的情况,并对与这种不常见损伤相关的文献进行全面综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0b1/5911725/b0f50a22ce5a/gr1.jpg

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