9 岁儿童孟氏 2 型骨折漏诊的处理：1 例报告。
Management of Missed Type-2 Monteggia Fracture Equivalent in a 9-Year-Old Child: A Case Report.
机构信息
Department of Orthopaedics, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Department of Orthopaedics, All India Institute of Medical Science and Research (AIIMS), New Delhi, India.
出版信息
JBJS Case Connect. 2021 Feb 11;11(1):e20.00179. doi: 10.2106/JBJS.CC.20.00179.
CASE
A 9-year-old girl presented with a painful stiff elbow consequent to an injury she had sustained 4 months ago. The radiographs were suggestive of a type 2 Monteggia equivalent injury. She underwent an open reduction of the radial neck fracture and proximal ulna extension osteotomy to restore radiocapitellar alignment. At one-year follow-up, the child had a painless elbow with a good functional outcome.
CONCLUSION
Monteggia lesions can be frequently missed and result in significant morbidity. Obtaining appropriate radiographs for a comprehensive understanding of the injury and proper surgical planning is important for achieving a good functional outcome in such injuries.
病例
一名 9 岁女孩因 4 个月前的外伤导致肘部疼痛、僵硬。放射学检查提示 2 型 Monteggia 损伤等效物。她接受了开放性桡骨头颈骨折复位和尺骨近端延长截骨术以恢复桡尺骨排列。随访 1 年时，患儿肘部无痛，功能良好。
结论
Monteggia 损伤容易漏诊，导致严重的发病率。为了全面了解损伤并进行适当的手术规划，获得适当的影像学检查对于此类损伤获得良好的功能结果非常重要。
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