Subbarao J V, Kumar V N
Department of Orthopaedic and Rehabilitation Medicine, Loyola University Stritch School of Medicine, Chicago, Ill.
Orthop Rev. 1987 Jul;16(7):457-61.
A patient with spastic quadriparetic cerebral palsy and unilateral nontraumatic dislocation of the radial head is presented. The association of radial head dislocation with flexion contracture of the elbow and contracture of the pronators of the forearm is known to occur but is infrequently reported. Early recognition and management of elbow and forearm contractures in cerebral palsy patients is imperative to avoid radial head dislocation, since the outcome of both surgical and rehabilitative management are significantly influenced by its presence. Literature related to this problem and pathokinesiology is discussed.
本文介绍了一名患有痉挛性四肢瘫脑瘫且伴有桡骨头非创伤性单侧脱位的患者。桡骨头脱位与肘部屈曲挛缩和前臂旋前肌挛缩相关联的情况虽已为人所知，但鲜有报道。脑瘫患者肘部和前臂挛缩的早期识别与处理对于避免桡骨头脱位至关重要，因为手术和康复治疗的效果都会受到其影响。本文还讨论了与此问题及病理运动学相关的文献。
