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无肘关节脱位的单纯肱骨内侧髁骨折脱位:一种未报道损伤的机制

Isolated Fracture Dislocation of Medial Humeral Condyle Without Elbow Dislocation: Mechanism of an Unreported Injury.

作者信息

Manocha R K, Tandon Rushama, Mishra Kritesh

机构信息

Department of Orthopaedics, Northern Railway Central Hospital, New Delhi, India.

出版信息

Indian J Orthop. 2021 Mar 29;55(Suppl 2):486-492. doi: 10.1007/s43465-021-00371-z. eCollection 2021 Jul.

Abstract

Dislocations of elbow are often associated with fractures in proximal radius and/or ulna. In adults, fracture dislocations involving humeral condyle are exceptional and have been reported only in association with lateral humeral Condyle. Medial condyle Fracture dislocations have not been reported in adults. We present a curious case of isolated fracture dislocation of medial humeral condyle in an adult in a setting of supracondylar-intercondylar fracture of distal humerus in which elbow joint remains in position, while medial condylar fracture fragment gets dislodged from olecranon notch. A possible mechanism of injury is explained.

摘要

肘关节脱位常伴有桡骨近端和/或尺骨骨折。在成年人中,涉及肱骨髁的骨折脱位较为罕见,仅报道过与肱骨外侧髁相关的情况。成年人内侧髁骨折脱位尚未见报道。我们报告了一例成人孤立性肱骨内侧髁骨折脱位的罕见病例,该病例发生在肱骨远端髁上-髁间骨折的背景下,肘关节保持在位,而内侧髁骨折块从鹰嘴窝脱位。文中解释了可能的损伤机制。

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