Jacobsen Mikael Gerner, Andersen Morten Jon
Ortopædkirurgisk Afdeling, Københavns Universitetshospital - Herlev-Gentofte Hospital.
Ugeskr Laeger. 2022 May 9;184(19).
Lateral humeral condyle fractures account for 10-20% of all paediatric elbow fractures. Diagnosis is made on plain radiographs; however, their interpretation is a challenge. Diagnostic MRI is used to apply the Song classification. Song stage 1-3 are managed conservatively while stage 4 and 5 are treated surgically. Closed reduction is attempted, and arthrography is used for verification. Unsuccessful reduction results in open surgery. Based on the literature, this review describes a modern algorithm for treating this injury resulting in more conservatively managed cases and less need for open surgery.
肱骨外侧髁骨折占所有儿童肘部骨折的10%-20%。通过普通X线片进行诊断；然而，对其进行解读具有挑战性。诊断性MRI用于应用宋氏分类法。宋氏1-3期采用保守治疗，而4期和5期则进行手术治疗。尝试进行闭合复位，并使用关节造影进行验证。复位失败则进行开放手术。基于文献，本综述描述了一种治疗该损伤的现代算法，可使更多病例得到保守治疗，减少开放手术的需求。
