Texas Scottish Rite Hospital for Children, Dallas, TX.
Department of Pediatric Orthopaedics, Children's Health Dallas, Dallas, TX.
J Orthop Trauma. 2019 Aug;33 Suppl 8:S12-S16. doi: 10.1097/BOT.0000000000001543.
Lateral condyle fractures are second only to supracondylar humeral fractures when it comes to pediatric elbow fractures. Whether minimally displaced or substantially displaced, these growth plate fractures may present significant treatment challenges. These include nonunion, malunion, avascular necrosis, and growth disturbance. It must be remembered that lateral condyle fractures often represent significantly displaced intra-articular fractures involving the epiphysis that demand anatomic reduction and stable internal fixation. This article focuses on some of the pertinent pearls and pitfalls regarding these common elbow injuries using ample clinical examples.
当涉及到小儿肘部骨折时，外侧髁骨折仅次于髁上骨折。无论是轻度移位还是明显移位，这些骺板骨折都可能带来重大的治疗挑战。这些挑战包括骨不连、畸形愈合、缺血性坏死和生长障碍。必须记住，外侧髁骨折通常代表明显移位的关节内骨折，涉及骨骺，需要解剖复位和稳定的内固定。本文通过大量临床实例，重点介绍了这些常见肘部损伤的一些相关要点和陷阱。
