Chen Yu-Pei, Lan Yi-Shan, Hu Wen-Long, Hung Yu-Chiang
Department of Chinese Medicine, Tainan Hospital, Ministry of Health and Welfare School of Medicine School of Law, National Cheng Kung University, Tainan Department of Chinese Medicine, Kaohsiung Chang Gung Memorial Hospital and School of Traditional Chinese Medicine, Chang Gung University College of Medicine Kaohsiung Medical University College of Medicine Fooyin University College of Nursing School of Chinese Medicine for Post Baccalaureate, I-Shou University, Kaohsiung, Taiwan.
Medicine (Baltimore). 2018 May;97(21):e10818. doi: 10.1097/MD.0000000000010818.
Displaced olecranon fracture is a common injury following a fall or direct trauma to the elbow. There have been no reports of patients with a displaced olecranon fracture who have only received nonoperative manipulative reduction with Chinese herbs.
The patient was a 64-year-old woman with a complex elbow injury that occurred in a traffic accident. The patient complained of severe, painful limitation of motion on straightening or bending.
The patient was diagnosed with a displaced fracture of the left olecranon (type IIA olecranon fracture according to the Mayo classification system).
The patient underwent nonoperative manipulation with Chinese herbs.
The fracture was successfully reduced. After 3 to 4 months of follow-up, severe pain and disability in the elbow were improved following reduction of the left olecranon fracture in which there was no longer a displacement.
Nonoperative manipulative reduction performed by a well-trained physician with Chinese herbs may be a treatment option for displaced olecranon fractures.
移位性鹰嘴骨折是肘部跌倒或直接创伤后常见的损伤。目前尚无仅接受中药非手术手法复位治疗移位性鹰嘴骨折患者的报道。
该患者为一名64岁女性，因交通事故导致肘部复合伤。患者主诉伸直或弯曲时活动严重受限且疼痛。
患者被诊断为左鹰嘴移位骨折（根据梅奥分类系统为IIA型鹰嘴骨折）。
患者接受了中药非手术手法复位。
骨折成功复位。经过3至4个月的随访，左鹰嘴骨折复位后肘部严重疼痛和功能障碍得到改善，骨折不再移位。
由训练有素的医生采用中药进行非手术手法复位可能是治疗移位性鹰嘴骨折的一种选择。
