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低收入和中等收入国家非手术治疗的伴有桡骨头骨折的罕见肘关节后脱位：病例报告及文献综述

Unusual posterior elbow dislocation associated with radial head fracture managed nonoperatively in low- and middle-income countries: A case report and literature review.

作者信息

Tumsifu Jean de Dieu Manegabe, Murhula Gauthier Bahizire, Munguakonkwa Paul Budema, Namugusha Alain Kabakuli, Bulabula Abasi Amisi, Maheshe Ghislain Balemba, Mgisha William, Kuhigwa Georges Toha, Cornu Olivier

机构信息

Department of Surgery Hôpital Provincial General de Référence de Bukavu Bukavu Democratic Republic of Congo.

Faculty of Medicine Université Catholique de Bukavu Bukavu Democratic Republic of Congo.

出版信息

Clin Case Rep. 2024 Aug 7;12(8):e9252. doi: 10.1002/ccr3.9252. eCollection 2024 Aug.

DOI:10.1002/ccr3.9252
PMID:39119033
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11305984/
Abstract

KEY CLINICAL MESSAGE

In LMICs, the nonoperative management of posterior elbow dislocation associated with radial head fracture is still a therapeutic option with favorable outcomes.

ABSTRACT

Elbow dislocation associated with radial head fracture is a rare lesion. The occurrence of such a lesion requires high energy trauma. The restoration of joint and radial head fracture that allows early mobilization is the best guarantee of a good functional outcome. We report a case of posterior elbow dislocation associated with radial head fracture managed by closed reduction and 1 week cast immobilization in neutral prono-supination and 90°flexion followed by early mobilization was performed favorable functional outcome was obtained after 12 weeks. We review the different pattern of elbow dislocation and question the need of open reduction and internal fixation for displaced radial head fractures.

摘要

关键临床信息

在低收入和中等收入国家，伴有桡骨头骨折的肘关节后脱位的非手术治疗仍是一种疗效良好的治疗选择。

摘要

伴有桡骨头骨折的肘关节脱位是一种罕见损伤。这种损伤的发生需要高能量创伤。恢复关节和桡骨头骨折并允许早期活动是获得良好功能结局的最佳保证。我们报告了一例伴有桡骨头骨折的肘关节后脱位病例，通过闭合复位及在中立位旋前 - 旋后和90°屈曲位石膏固定1周，随后早期活动，12周后获得了良好的功能结局。我们回顾了肘关节脱位的不同模式，并对移位桡骨头骨折进行切开复位内固定的必要性提出质疑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bd8/11305984/d3c98aabce06/CCR3-12-e9252-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bd8/11305984/2e6d7bacc9f1/CCR3-12-e9252-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bd8/11305984/14dee6b07d84/CCR3-12-e9252-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bd8/11305984/d3c98aabce06/CCR3-12-e9252-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bd8/11305984/2e6d7bacc9f1/CCR3-12-e9252-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bd8/11305984/14dee6b07d84/CCR3-12-e9252-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bd8/11305984/d3c98aabce06/CCR3-12-e9252-g002.jpg

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本文引用的文献

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Management of Geriatric Elbow Injury.老年肘部损伤的处理。
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Maximizing outcomes in the treatment of radial head fractures.最大限度提高桡骨头骨折治疗效果。
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Is ORIF superior to nonoperative treatment in isolated displaced partial articular fractures of the radial head?桡骨头孤立性移位部分关节内骨折的切开复位内固定是否优于非手术治疗？
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Long-term results of radial head resection following isolated radial head fractures in patients younger than forty years old.四十岁以下患者孤立性桡骨头骨折行桡骨头切除术的长期疗效。
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The long-term outcome of open reduction and internal fixation of stable displaced isolated partial articular fractures of the radial head.桡骨头稳定移位孤立性部分关节骨折切开复位内固定的长期疗效
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8
Posterior dislocation of the elbow associated with fracture of the radial head and olecranon, and with medial collateral ligament disruption: A case report.肘关节后脱位合并桡骨头及鹰嘴骨折，并伴有内侧副韧带断裂：一例报告。
Cases J. 2008 Sep 19;1(1):168. doi: 10.1186/1757-1626-1-168.
9
Open reduction and internal fixation of Mason type III radial head fractures with and without an associated elbow dislocation.伴有或不伴有肘关节脱位的梅森III型桡骨头骨折的切开复位内固定术。
J Hand Surg Am. 2007 Dec;32(10):1560-8. doi: 10.1016/j.jhsa.2007.09.016.
10
Primary nonoperative treatment of moderately displaced two-part fractures of the radial head.桡骨头两部分中度移位骨折的一期非手术治疗
J Bone Joint Surg Am. 2006 Sep;88(9):1909-14. doi: 10.2106/JBJS.E.01052.