Lahoti Om, Akilapa Oluwasegun
Diploma in Gait Analysis (Stratchclyde), Consultant Adult and Paediatric Orthopaedic Surgeon, King's College Hospital, London, SE5 9RS, United Kingdom.
Sports/Exercise Medicine, Specialist Registrar in Orthopaedics, King's College Hospital, London, SE5 9RS, United Kingdom.
J Clin Orthop Trauma. 2021 Jun 5;20:101471. doi: 10.1016/j.jcot.2021.06.001. eCollection 2021 Sep.
Elbow injuries are common in children and while majority heal very well, some result in deformities of the elbow. Although deformities such as cubitus varus and non-progressive cubitus valgus are considered cosmetic by the paediatric orthopaedic surgeons and intentionally ignored, they are not always benign and can result in functional deficit due to instability, pain, tardy nerve palsies and osteoarthritis later in life. Similarly congenital and developmental conditions that do not cause major functional loss in childhood, become very disabling in adults due to increasing functional demands. Congenital radial head dislocation and radioulnar synostosis fall into this category. In this paper we discuss clinical presentation, treatment options and outcomes of common elbow conditions presenting later in the life.
肘部损伤在儿童中很常见,虽然大多数损伤愈合良好,但有些会导致肘部畸形。尽管诸如肘内翻和非进行性肘外翻等畸形在小儿骨科医生看来属于美容问题而被有意忽视,但它们并非总是无害的,可能会因不稳定、疼痛、迟发性神经麻痹以及晚年的骨关节炎而导致功能缺陷。同样,一些先天性和发育性疾病在儿童期不会导致严重的功能丧失,但由于功能需求增加,在成人期会变得非常致残。先天性桡骨头脱位和桡尺骨融合就属于这一类。在本文中,我们将讨论在生命后期出现的常见肘部疾病的临床表现、治疗选择和结果。