Gupta Gaurav, Bansal Sudhanshu, Sangole Chinmay
Fellow Ped Orth., Orthokids Clinic, Ahmedabad, India.
Fellow Ped Orth., Aichi Children's Hospital, Nagoya, Japan.
J Clin Orthop Trauma. 2024 Oct 15;58:102554. doi: 10.1016/j.jcot.2024.102554. eCollection 2024 Nov.
Elbow injuries are one of the commonest paediatric musculoskeletal injuries. Their spectrum varies from pulled elbow to elbow dislocation. Supracondylar fractures are the most common type of paediatric elbow fractures accounting for 65-75 % of all paediatric elbow injuries. Other common paediatric elbow injuries include Lateral condyle fractures, Medial epicondyle fractures, Radial neck fractures, olecranon fractures, TRASH injuries and Elbow dislocations. Osteochondral fractures in kids can be missed due to their benign appearance or invisibility on x rays. TRASH stands for "The Radiological Appearance Seems Harmless". In contrast to the full form, the abbreviation TRASH tells the harmful consequences of missing these injuries. This article will discuss the salient points regarding common elbow injuries, their diagnosis and best treatment practices. It will help the caregivers to be more prepared to deal with these situations and thus avoiding complications and getting better outcomes.
肘部损伤是最常见的小儿肌肉骨骼损伤之一。其范围从牵拉肘到肘关节脱位不等。肱骨髁上骨折是小儿肘部骨折最常见的类型,占所有小儿肘部损伤的65% - 75%。其他常见的小儿肘部损伤包括外侧髁骨折、内侧髁上骨折、桡骨颈骨折、鹰嘴骨折、TRASH损伤和肘关节脱位。儿童的骨软骨骨折可能因其外观良性或在x光片上不可见而被漏诊。TRASH代表“放射学表现看似无害”。与全称相比,缩写TRASH说明了漏诊这些损伤的有害后果。本文将讨论常见肘部损伤的要点、诊断及最佳治疗方法。这将有助于护理人员更有准备地应对这些情况,从而避免并发症并获得更好的治疗效果。