Department of Trauma and Orthopaedics, Queen's Medical Centre, Nottingham, UK.
Curr Opin Pediatr. 2019 Feb;31(1):86-91. doi: 10.1097/MOP.0000000000000707.
The management of displaced medial humeral epicondyle fractures in children remains controversial. The indications for surgery, the ideal surgical strategy and the implications of a painful nonunion remain unclear.
This article describes the state of the evidence and the art in the management of medial humeral epicondyle fractures concentrating on recent research and current opinion. Treatment of paediatric medial epicondylar fractures of the elbow remains the domain of expert opinion and subject to great variance. Anatomical, biomechanical and computer simulation models suggest great importance should be given to the medial epicondyle and the structures, which insert onto it. However, this does not correlate with outcomes as reported by patients, parents and surgeons.
The question of which paediatric medial humeral epicondylar fractures benefit from operative fixation remains unanswered. A large randomized prospective trial is required.
儿童移位性肱骨内上髁骨折的治疗仍存在争议。手术适应证、理想的手术策略以及疼痛性骨不连的影响仍不清楚。
本文描述了儿童肱骨内上髁骨折治疗的现状和技术，重点关注最近的研究和当前的观点。肘部儿童内上髁骨折的治疗仍然是专家意见的领域，存在很大的差异。解剖学、生物力学和计算机模拟模型表明，应该非常重视内上髁及其附着的结构。然而，这与患者、家长和外科医生报告的结果并不相关。
哪些儿童肱骨内上髁骨折需要手术固定仍未得到解答。需要进行一项大型随机前瞻性试验。
