Igaki Ryu, Yasuda Tomohiro, Samejima Yuki, Murakami Yuto, Takagi Shinsuke, Kawasaki Keikichi
Department of Plastic and Reconstructive Surg, Showa University School of Medicine, Tokyo, Japan.
Department of Orthopaedic Surgery, Showa University Fujigaoka Hospital, Yokohama, Japan.
Trauma Case Rep. 2025 Feb 27;56:101151. doi: 10.1016/j.tcr.2025.101151. eCollection 2025 Apr.
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.
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。
