Southern Illinois University School of Medicine, Department of Surgery, Division of Orthopaedic Surgery, Springfield, Illinois.
HSHS St. John's Children's Hospital, Springfield, Illinois.
JBJS Case Connect. 2020 Jan-Mar;10(1):e0417. doi: 10.2106/JBJS.CC.19.00417.
We present a case of a pediatric patient who sustained a medial humeral epicondyle fracture with avulsion of the ulnar collateral ligament and flexor-pronator mass from the ossific nucleus fracture fragment. Treatment included excision of the medial epicondyle ossific nucleus and repair of the soft tissues. At 1-year, the patient had no pain, no elbow instability, and full and symmetric elbow range of motion.
Excellent short-term pain and function outcomes can be observed in the pediatric patient after medial epicondyle fragment excision when there is concomitant avulsion of the ulnar collateral and flexor-pronator origins from the fracture fragment.
我们报告了 1 例儿童患者,其发生肱骨内上髁骨折,伴有尺侧副韧带和屈肌-旋前肌从骨化核骨折块的撕脱。治疗包括切除内上髁骨化核和修复软组织。1 年后,患者无疼痛,肘部稳定,且肘部活动度完全且对称。
当伴有尺侧副韧带和屈肌-旋前肌从骨折块撕脱时,儿童患者行内上髁骨块切除后可获得极好的短期疼痛和功能结果。