Ju Li, Xu Mengqiu, Lin Gang
Department of Pediatric Orthopedics, Children's Hospital of Nanjing Medical University, Nanjing, China.
Nanjing Medical University, Nanjing, China.
Front Pediatr. 2023 Jul 17;11:1219518. doi: 10.3389/fped.2023.1219518. eCollection 2023.
This case report presents a rare and intricate pediatric floating elbow fracture involving a Monteggia-equivalent fracture, ipsilateral humeral shaft fracture, and radial nerve injury. The unique mechanism of injury highlights the importance of increased awareness and parental education for accident prevention. Elastic intramedullary nailing was employed for both humeral shaft and forearm fractures, leading to favorable outcomes. Despite the severity of the fractures and radial nerve injury, the prognosis was positive, with nerve function restoration and satisfactory functional recovery. However, the development of avascular necrosis of the radial head remains a challenge, emphasizing the need for further research to better understand and manage these uncommon and complex injuries.
本病例报告展示了一例罕见且复杂的小儿浮动肘关节骨折，涉及类孟氏骨折、同侧肱骨干骨折和桡神经损伤。独特的损伤机制凸显了提高意识和对家长进行事故预防教育的重要性。对肱骨干和前臂骨折均采用了弹性髓内钉固定，取得了良好效果。尽管骨折和桡神经损伤严重，但预后良好，神经功能得以恢复，功能恢复令人满意。然而，桡骨头缺血性坏死的发生仍然是一个挑战，这强调需要进一步研究，以更好地理解和处理这些罕见且复杂的损伤。
