儿童内侧髁骨不连：病例报告及概述与处理

Chorney Matthew, Sylvestre Daniel, Seeley Mark

Geisinger Health, Danville, PA.

J Am Acad Orthop Surg Glob Res Rev. 2019 Feb 13;3(2):e046. doi: 10.5435/JAAOSGlobal-D-18-00046. eCollection 2019 Feb.

Up to 90% of medial epicondyle fractures treated with conservative measures result in nonunion. However, only 21% become symptomatic. The current case review discusses the history and treatment of a symptomatic medial epicondyle nonunion in a 14-year-old over a 2-year period. Initial conservative treatment was insufficient. However, open reduction and internal fixation afforded the patient a full resolution of symptoms with return to all activities at 10 weeks postoperatively. The patient remains asymptomatic more than 2 years after the initial injury. Open reduction and internal fixation achieved excellent outcomes in the treatment of a symptomatic medial epicondyle nonunion.

采用保守治疗的内上髁骨折，高达90%会发生骨不连。然而，只有21%会出现症状。本病例回顾讨论了一名14岁患者在两年内出现症状性内上髁骨不连的病史及治疗情况。最初的保守治疗并不充分。然而，切开复位内固定使患者症状完全缓解，术后10周恢复了所有活动。自初次受伤后两年多，患者一直无症状。切开复位内固定在治疗症状性内上髁骨不连方面取得了优异的效果。