Hudson D A, De Beer J D
J Bone Joint Surg Br. 1986 May;68(3):378-81. doi: 10.1302/0301-620X.68B3.3733800.
Isolated traumatic dislocation of the radial head in children is not as rare as sometimes supposed. Attention to detail in radiographic interpretation is the key to diagnosis. Early closed reduction and immobilisation in an above-elbow plaster in 90 degrees of flexion and full supination for three to six weeks is recommended. Seven cases are presented, two of which were treated operatively and had unsatisfactory results. The applied anatomy, management and complications are discussed.
儿童单纯性桡骨头外伤性脱位并非像有时认为的那样罕见。影像学解读时注重细节是诊断的关键。建议早期进行闭合复位,并在上臂石膏固定于90度屈曲和完全旋后位3至6周。本文报告7例病例,其中2例接受了手术治疗,但效果不理想。文中还讨论了相关应用解剖、治疗方法及并发症。