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伴有后外侧肘关节脱位的同侧远端双骨前臂及肱骨外侧髁骨折:儿童的一种罕见损伤

Ipsilateral Distal Both Bone Forearm and Lateral Humeral Condyle Fractures With Posterolateral Elbow Dislocation: A Rare Injury in a Child.

作者信息

Özyildiran Mustafa

机构信息

Department of Orthopedics and Traumatology, Sandıklı State Hospital, Afyonkarahisar, TUR.

出版信息

Cureus. 2024 Nov 19;16(11):e74002. doi: 10.7759/cureus.74002. eCollection 2024 Nov.

DOI:10.7759/cureus.74002
PMID:39703296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11657294/
Abstract

Lateral humeral condyle fractures are common in children, but concomitant elbow dislocation is rare. This case report involves a 10-year-old girl with an ipsilateral distal both-bone forearm fracture and a lateral humeral condyle fracture accompanied by a posterolateral elbow dislocation. Closed reduction of the elbow was performed in the emergency department without delay, and the patient was operated on as soon as possible. Closed reduction percutaneous pinning (CRPP) was performed for the distal radius fracture. The Weiss type III lateral humeral condyle fracture was reduced through a lateral approach, and fixation was performed using divergent pinning with two Kirschner wires. K-wires were removed, and the motion was initiated postoperatively in the fourth week. The patient obtained favorable postoperative results and regained full range of motion in both the elbow and wrist. Any complications, such as nonunion, malunion, cubitus varus, or avascular necrosis, were not observed.

摘要

肱骨外侧髁骨折在儿童中很常见,但合并肘关节脱位则很少见。本病例报告涉及一名10岁女孩,她同侧的前臂双骨折远端和肱骨外侧髁骨折并伴有肘关节后外侧脱位。在急诊科立即对肘关节进行了闭合复位,患者尽快接受了手术。对桡骨远端骨折进行了闭合复位经皮穿针固定(CRPP)。通过外侧入路对Weiss III型肱骨外侧髁骨折进行复位,并使用两根克氏针进行发散性穿针固定。术后第四周取出克氏针并开始活动。患者术后取得了良好的效果,肘关节和腕关节均恢复了全范围活动。未观察到任何并发症,如骨不连、畸形愈合、肘内翻或缺血性坏死。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9e/11657294/09d770ee95ea/cureus-0016-00000074002-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9e/11657294/051cf85d7769/cureus-0016-00000074002-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9e/11657294/531cdab200d8/cureus-0016-00000074002-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9e/11657294/ff70dd7e0767/cureus-0016-00000074002-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9e/11657294/d99b811c9094/cureus-0016-00000074002-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9e/11657294/09d770ee95ea/cureus-0016-00000074002-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9e/11657294/051cf85d7769/cureus-0016-00000074002-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9e/11657294/531cdab200d8/cureus-0016-00000074002-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9e/11657294/ff70dd7e0767/cureus-0016-00000074002-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9e/11657294/d99b811c9094/cureus-0016-00000074002-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9e/11657294/09d770ee95ea/cureus-0016-00000074002-i05.jpg

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本文引用的文献

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Radiol Case Rep. 2024 Aug 23;19(11):5174-5177. doi: 10.1016/j.radcr.2024.07.062. eCollection 2024 Nov.
2
Management of Lateral Condyle Humeral Fracture Associated With Elbow Dislocation in Children. A Retrospective International Multicenter Cohort Study.儿童伴发肘关节脱位的肱骨外侧髁骨折的治疗。一项回顾性国际多中心队列研究。
J Pediatr Orthop. 2024 Feb 1;44(2):82-88. doi: 10.1097/BPO.0000000000002574. Epub 2023 Nov 20.
3
Paediatric lateral condyle fracture with a posterolateral elbow dislocation: an atypical injury in a preadolescent.
儿童外侧髁骨折伴肘关节后外侧脱位:青少年前典型损伤。
BMJ Case Rep. 2021 May 27;14(5):e241725. doi: 10.1136/bcr-2021-241725.
4
Lateral Condyle Fracture of the Humerus in Children: Kirschner Wire or Screw Fixation?儿童肱骨外髁骨折:克氏针固定还是螺钉固定?
Eur J Pediatr Surg. 2021 Aug;31(4):374-379. doi: 10.1055/s-0040-1714656. Epub 2020 Jul 28.
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Post-traumatic elbow stiffness: Pathogenesis and current treatments.创伤后肘关节僵硬:发病机制与当前治疗方法
Shoulder Elbow. 2020 Feb;12(1):38-45. doi: 10.1177/1758573218793903. Epub 2018 Aug 8.
6
The Song Classification Is Reliable and Guides Prognosis and Treatment for Pediatric Lateral Condyle Fractures: An Independent Validation Study With Treatment Algorithm.歌曲分类对儿童外侧髁骨折的预后和治疗具有可靠的指导作用:一项带有治疗算法的独立验证研究
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Biomechanical Analysis of Screws Versus K-Wires for Lateral Humeral Condyle Fractures.肱骨外侧髁骨折中螺钉与克氏针的生物力学分析
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