Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington, Kentucky.
Department of Orthopaedic Surgery, Marshall University, Huntington, West Virginia.
JBJS Case Connect. 2020 Nov 20;10(4):e20.00061. doi: 10.2106/JBJS.CC.20.00061.
A 10-year-old boy presented with a Salter-Harris II distal radius fracture that was irreducible by closed methods. An open reduction was performed in the operating room where a sleeve of periosteum was found interposed between the fracture fragments. Successful reduction was performed without difficulty after the periosteum was removed from the fracture.
Soft-tissue interposition must be kept in mind when having difficulty performing closed reductions of pediatric distal radius physeal fractures to avoid excessive reduction attempts.
一名 10 岁男孩就诊，其发生了不可通过闭合复位方法复位的 Salter-Harris II 型桡骨远端骨折。在手术室中进行了切开复位，术中发现有一层骨膜套袖嵌入骨折断端之间。在去除骨膜后，骨折顺利地复位成功。
在进行儿童桡骨远端骺板骨折的闭合复位时，如果遇到困难，必须注意软组织嵌入，以避免过度复位尝试。
