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“PRUT”——一项尸体研究，旨在通过全面的文献综述来了解这种罕见的小儿肘部损伤的机制。

'PRUT' - A cadaveric study to understand the mechanism of this rare paediatric elbow injury with a comprehensive review of literature.

作者信息

Keny Swapnil, Modi Nihar, Haidermota Murtaza, Gokhale Nikhil, Khambatta Seema, Keny Aryan

机构信息

KB Bhabha Municipal Hospital, Bandra, Mumbai, Maharashtra, India.

Department of Orthopaedics, KB Bhabha Municipal Hospital, Bandra, Mumbai, Maharashtra, India.

出版信息

Trauma Case Rep. 2024 Jun 6;52:101067. doi: 10.1016/j.tcr.2024.101067. eCollection 2024 Aug.

DOI:10.1016/j.tcr.2024.101067
PMID:39021888
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11252064/
Abstract

INTRODUCTION

Proximal radio-ulnar translocation (PRUT) with elbow dislocation, without a fracture, is an extremely unusual injury.

CASE

A 6-year-old female child presented to us with posterior elbow dislocation, PRUT and incomplete ulnar nerve palsy. A hematoma aspiration and reduction of the elbow joint were done with a hyper-supination manoeuvre to reverse the translocation. She was managed with an above-elbow cast for 4 weeks and showed good radiological and functional outcomes on subsequent follow-ups until 1 year.

CONCLUSION

Early recognition of PRUT and a thorough clinico-radiological assessment are mandatory when dealing with paediatric elbow injuries. Our cadaveric study with illustrations defines the mechanism of this rare injury for better understanding.

摘要

引言

近端桡尺关节脱位（PRUT）合并肘关节脱位且无骨折，是一种极其罕见的损伤。

病例

一名6岁女童因肘关节后脱位、PRUT和尺神经不完全麻痹前来就诊。进行了血肿抽吸及肘关节复位，并采用过度旋前手法来纠正脱位。她使用上臂石膏固定4周，在随后长达1年的随访中，影像学和功能恢复情况良好。

结论

处理小儿肘部损伤时，必须尽早识别PRUT并进行全面的临床影像学评估。我们的尸体研究及图示明确了这种罕见损伤的机制，以便更好地理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/343a/11252064/8a772ac6c36f/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/343a/11252064/44f7a97f2bf6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/343a/11252064/ccd0c89ec361/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/343a/11252064/b4c34d2f8769/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/343a/11252064/92e936b60481/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/343a/11252064/4ead4c511bb7/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/343a/11252064/f371cdd733d8/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/343a/11252064/8a772ac6c36f/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/343a/11252064/44f7a97f2bf6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/343a/11252064/ccd0c89ec361/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/343a/11252064/b4c34d2f8769/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/343a/11252064/92e936b60481/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/343a/11252064/4ead4c511bb7/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/343a/11252064/f371cdd733d8/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/343a/11252064/8a772ac6c36f/gr7.jpg

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[Isolated elbow dislocation in pediatric patients: non-operative treatment and complications associated with an infrequent pathology. Series of 4 cases].
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Arch Argent Pediatr. 2021 Apr;119(2):e133-e137. doi: 10.5546/aap.2021.e133.
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