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切开复位治疗小儿桡骨颈骨折移位并取得良好功能预后：1例罕见病例报告及文献复习

Toppled Pediatric Radial Neck Fracture Treated by Open Reduction with Good Functional Outcome: A Rare Case Report with Review of Literature.

作者信息

Sivanandan Hari Muthukannan, Chhajed Sheel Sunil, Manoharan A E, Kumar Midun V

机构信息

Department of Orthopaedics, Vinayaka Misssion Kirupananda Variyar Medical College and Hospital, Salem, Tamil Nadu, India.

出版信息

J Orthop Case Rep. 2022;12(5):15-18. doi: 10.13107/jocr.2022.v12.i05.2796.

DOI:10.13107/jocr.2022.v12.i05.2796
PMID:36660163
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9826559/
Abstract

INTRODUCTION

180 °rotated and displaced fracture neck of radius with displacement is rare case in pediatric age as the cartilaginous head absorbs the force and transmits it to the weaker physis or metaphysis of the neck. These fractures characteristically produce an angular deformity of the head with the neck.

CASE REPORT

This case report describes a rare case of 180° rotated and displaced fracture neck of radius with displacement. A 12-year-old female presented to OPD with history of self-fall over right elbow while playing and started complaining of pain over right elbow for about 2 h. She underwent open reduction internal fixation with k wire fixation procedures. She made an uneventful recovery and reported full range of motion after a follow-up of 3 months.

CONCLUSION

The best treatment options in pediatric age suffering from a displaced (Judet classification type 4b) radial neck fracture with displacement in childhood is open reduction and fixation of fracture to avoid further joint stiffness and growth related deformity.

摘要

引言

180°旋转并伴有移位的桡骨颈骨折在儿童期较为罕见，因为软骨头部会吸收力量并将其传递至较弱的颈部骨骺或干骺端。这些骨折的典型特征是头部与颈部产生角形畸形。

病例报告

本病例报告描述了一例罕见的180°旋转并伴有移位的桡骨颈骨折。一名12岁女性因玩耍时右肘部自行摔倒前来门诊就诊，开始抱怨右肘部疼痛约2小时。她接受了切开复位克氏针内固定手术。术后恢复顺利，随访3个月后报告关节活动范围正常。

结论

儿童期患有移位的（Judet分类4b型）桡骨颈骨折的最佳治疗选择是切开复位并固定骨折，以避免进一步的关节僵硬和与生长相关的畸形。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/9581f412cc6d/JOCR-12-15-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/29913b0ba49e/JOCR-12-15-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/62c6390e243d/JOCR-12-15-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/e9b10370d111/JOCR-12-15-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/cbb1a4c7fb59/JOCR-12-15-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/b97468236847/JOCR-12-15-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/a9032c61dc71/JOCR-12-15-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/7882cbaffcc3/JOCR-12-15-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/96e3cc538078/JOCR-12-15-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/9581f412cc6d/JOCR-12-15-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/29913b0ba49e/JOCR-12-15-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/62c6390e243d/JOCR-12-15-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/e9b10370d111/JOCR-12-15-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/cbb1a4c7fb59/JOCR-12-15-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/b97468236847/JOCR-12-15-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/a9032c61dc71/JOCR-12-15-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/7882cbaffcc3/JOCR-12-15-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/96e3cc538078/JOCR-12-15-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440a/9826559/9581f412cc6d/JOCR-12-15-g010.jpg

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Outcome of open reduction and Kirschner wire fixation in pediatric radial neck fracture.小儿桡骨颈骨折切开复位及克氏针固定的疗效
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