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小儿肘部骨折与脱位的治疗

Management of Pediatric Elbow Fractures and Dislocations.

作者信息

Bašković Marko, Pešorda Domagoj, Zaninović Luca, Hasandić Damir, Lohman Vuga Katarina, Pogorelić Zenon

机构信息

Department of Pediatric Surgery, Children's Hospital Zagreb, Ulica Vjekoslava Klaića 16, 10000 Zagreb, Croatia.

School of Medicine, University of Zagreb, Šalata 3, 10000 Zagreb, Croatia.

出版信息

Children (Basel). 2024 Jul 27;11(8):906. doi: 10.3390/children11080906.

DOI:10.3390/children11080906
PMID:39201841
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11352739/
Abstract

Pediatric elbow fractures and dislocations have always been a challenge from a diagnostic and therapeutic point of view, primarily due to the complex nature of the pediatric elbow, especially its developmental anatomy. They must be diagnosed and treated on time to prevent numerous complications with long-term consequences. With the development of radiology and pediatric surgery and orthopedics, as well as the development of modern osteosynthesis materials, concerning current scientific and professional knowledge, the outcomes are getting better, with fewer acute and chronic complications. This comprehensive review aims to provide clinicians current knowledge about pediatric elbow fractures and dislocations so that in daily practice they have as few doubts as possible with the best possible treatment outcomes.

摘要

从诊断和治疗的角度来看,小儿肘部骨折和脱位一直是一项挑战,主要是因为小儿肘部结构复杂,尤其是其发育解剖结构。必须及时对其进行诊断和治疗,以预防众多具有长期后果的并发症。随着放射学、小儿外科和骨科的发展,以及现代骨合成材料的发展,基于当前的科学和专业知识,治疗结果正在改善,急慢性并发症也越来越少。这篇综述旨在为临床医生提供有关小儿肘部骨折和脱位的最新知识,以便他们在日常实践中对最佳治疗结果尽可能少存疑虑。

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本文引用的文献

1
A pediatric terrible triad fracture of elbow with lateral epicondyle avulsion.小儿肘部可怕三联征骨折伴外侧髁撕脱。
Trauma Case Rep. 2024 May 13;52:101036. doi: 10.1016/j.tcr.2024.101036. eCollection 2024 Aug.
2
Missed Monteggia Injuries in Children and Adolescents: A Treatment Algorithm.儿童和青少年孟氏骨折漏诊:一种治疗方案
Children (Basel). 2024 Mar 25;11(4):391. doi: 10.3390/children11040391.
3
Open Exploration and Reduction of Paediatric Supracondylar Humerus Fracture with Pink, Pulseless Hand in Resource-Limited Settings.资源有限环境下小儿髁上骨折伴粉色无脉手的开放性探查复位
J Hand Surg Asian Pac Vol. 2024 Apr;29(2):118-124. doi: 10.1142/S2424835524500139. Epub 2024 Mar 15.
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Incidence, risk factors, and consequences of radiographic pin migration after pinning of pediatric supracondylar humeral fractures.小儿肱骨髁上骨折克氏针固定后影像学克氏针移位的发生率、危险因素及后果
J Pediatr Orthop B. 2024 Mar 1;33(2):198-199. doi: 10.1097/BPB.0000000000001153. Epub 2024 Jan 30.
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Comprehensive Analysis of Pediatric Elbow Radiographic Lines and Angles.小儿肘部 X 线摄影线和角度的综合分析。
J Orthop Trauma. 2024 Feb 1;38(2):e55-e62. doi: 10.1097/BOT.0000000000002729.
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Evaluation of Gartland Classification, Baumann Angle and Anterior Humeral Line in Paediatrics Supracondylar Fractures: An Inter and Intra-Observer Reliability Study.儿童肱骨髁上骨折中Gartland分型、鲍曼角及肱前线的评估:观察者间及观察者内可靠性研究
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Outcomes of Therapy and Ulnar Nerve Transposition for Elbow Stiffness After Pediatric Medial Epicondyle Fractures.小儿内上髁骨折后肘关节僵硬的治疗及尺神经转位的疗效
J Hand Surg Glob Online. 2023 Aug 12;5(6):744-750. doi: 10.1016/j.jhsg.2023.07.002. eCollection 2023 Nov.
8
Comparison of the midterm result between Lag-Screw fixation and K-wires treating displaced medial epicondyle fractures in children.螺钉固定与克氏针治疗儿童移位内侧髁骨折中期疗效比较。
Medicine (Baltimore). 2023 Nov 24;102(47):e36197. doi: 10.1097/MD.0000000000036197.
9
Influence of Obesity in Children with Supracondylar Humeral Fractures Requiring Surgical Treatment at a Tertiary Pediatric Trauma Center.肥胖对在三级儿科创伤中心需手术治疗的肱骨髁上骨折儿童的影响。
Healthcare (Basel). 2023 Jun 16;11(12):1783. doi: 10.3390/healthcare11121783.
10
Pediatric Elbow Dislocations and Associated Fractures.小儿肘关节脱位及相关骨折
Children (Basel). 2023 Jun 1;10(6):993. doi: 10.3390/children10060993.