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一名儿科患者同侧肱骨髁上骨折、孟氏骨折脱位合并桡骨远端骨骺骨折:病例报告

Ipsilateral supracondylar humerus fracture and Monteggia fracture-dislocation with distal radius physeal fracture in a pediatric patient: A case report.

作者信息

Igaki Ryu, Yasuda Tomohiro, Samejima Yuki, Murakami Yuto, Takagi Shinsuke, Kawasaki Keikichi

机构信息

Department of Plastic and Reconstructive Surg, Showa University School of Medicine, Tokyo, Japan.

Department of Orthopaedic Surgery, Showa University Fujigaoka Hospital, Yokohama, Japan.

出版信息

Trauma Case Rep. 2025 Feb 27;56:101151. doi: 10.1016/j.tcr.2025.101151. eCollection 2025 Apr.

Abstract

In pediatric patients, supracondylar humerus fractures concurrent with Monteggia fracture-dislocation and Monteggia fracture-dislocation concurrent with distal radius fracture are rare and have only been reported in case reports. We present the case of a 10-year-old girl with concurrent ipsilateral arm supracondylar humerus fracture with Monteggia fracture-dislocation and distal radius physeal fracture, which were treated with closed reduction and percutaneous pinning. The Monteggia fracture-dislocation was addressed with open reduction via a posterior approach and fixation using titanium elastic nails. The postoperative recovery was favorable. At 1-year postoperative follow-up, the Mayo Elbow Performance score was 100 points, and no limitations in joint range of motion were noted.

摘要

在儿科患者中,肱骨髁上骨折合并孟氏骨折脱位以及孟氏骨折脱位合并桡骨远端骨折很少见,仅有病例报告。我们报告了一例10岁女孩,同侧手臂同时发生肱骨髁上骨折合并孟氏骨折脱位以及桡骨远端骨骺骨折,采用闭合复位经皮穿针治疗。孟氏骨折脱位通过后路切开复位并用钛弹性钉固定。术后恢复良好。术后1年随访时,梅奥肘关节功能评分100分,关节活动范围无受限。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/529e/11930573/d42541230890/gr1.jpg

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