From the Department of Pediatric Orthopaedic Surgery, Children's Hospital of Philadelphia, Philadelphia, PA.
J Am Acad Orthop Surg. 2019 May 1;27(9):301-311. doi: 10.5435/JAAOS-D-17-00326.
Pediatric distal humerus fractures are common, and numerous variations can occur depending on patient's age, position of the extremity at the time of injury, and energy of impact. Classic injury patterns include the flexion/extension supracondylar humerus, medial epicondyle, lateral condyle, and the transphyseal distal humerus. We describe our treatment philosophy for pediatric elbow fractures and how these principles were applied to some unusual fractures that presented to our institution.
小儿肱骨远端骨折较为常见,根据患者的年龄、受伤时肢体的位置和撞击能量的不同,可能会出现多种变异。经典的损伤类型包括屈伸超髁肱骨、内上髁、外髁和干骺端远端肱骨。我们描述了我们对小儿肘部骨折的治疗理念,以及这些原则如何应用于我们机构遇到的一些不常见的骨折。