From the Department of Orthopaedic Surgery, Detroit Medical Center, Children's Hospital of Michigan, Detroit, MI.
J Am Acad Orthop Surg Glob Res Rev. 2020 May;4(5):e1900101. doi: 10.5435/JAAOSGlobal-D-19-00101.
This patient originally presented at the age of 2 years with a 1-mm displaced lateral humeral condyle fracture after a fall. He was treated nonoperatively in a long-arm cast, and serial x-rays were followed for 1 month. At the 1-month clinic visit, the lateral condyle demonstrated excellent alignment and healing, and the long-arm cast was removed. He eased back into activities and was doing well at 3 months. He returned over 4 years later, at the age of 7 years, with the report of elbow clicking with motion. At that time, imaging demonstrated collapse of the ulnohumeral articulation.
这位患者最初是在 2 岁时因摔倒导致 1 毫米侧方肱骨髁骨折就诊。他接受了长臂石膏固定的非手术治疗，并在 1 个月内定期进行 X 光检查。在 1 个月的门诊就诊时，外侧髁显示出极好的对线和愈合，长臂石膏被去除。他逐渐恢复活动，3 个月时情况良好。4 年后，即 7 岁时，他出现肘部活动时弹响，并报告说肘部疼痛。当时的影像学检查显示尺肱关节塌陷。
