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儿童肘关节经鹰嘴前脱位:一例报告并文献复习

Anterior transolecranon dislocation of the elbow in a child: A case report and review of literature.

作者信息

Bouaziz Wajdi, Guidara Ahmed Racem, Trabelsi Ahmed, Bardaa Tarek, Hammami Mourad, Ellouz Zoubaier, Keskes Hassib

机构信息

Department of Orthopaedic Surgery and Traumatology, Habib Bourguiba University Hospital, Sfax 3000, Tunisia.

Department of Orthopaedic Surgery and Traumatology, Tataouine Regional Hospital, Sfax 3263, Tunisia.

出版信息

World J Orthop. 2018 Jul 18;9(7):100-104. doi: 10.5312/wjo.v9.i7.100.

Abstract

Anterior transolecranon dislocation of the elbow is rarely observed in children, reported in only a small series. The present case involves an anterior transolecranon dislocation of the left elbow joint in a 7-year-old child, which was surgically treated. Two attempts of closed reduction failed because the radial head had buttonholed via the joint capsule. After its release, open reduction was easily performed; osteosynthesis of the olecranon was not performed. Remarkably, good result was obtained, despite a mild flexion deformity at the last follow-up. This case report aims to highlight this treatment method, which may be considered for such an uncommon injury.

摘要

小儿肘关节经鹰嘴前脱位很少见,仅有少量病例报道。本病例为一名7岁儿童的左肘关节经鹰嘴前脱位,采取了手术治疗。两次闭合复位尝试均失败,因为桡骨头经关节囊穿出。松解后,很容易进行了切开复位;未进行鹰嘴骨固定。值得注意的是,尽管末次随访时存在轻度屈曲畸形,但结果良好。本病例报告旨在强调这种治疗方法,对于这种罕见损伤可考虑采用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4714/6068729/7e6ffdcdc6b6/WJO-9-100-g001.jpg

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