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儿童肘关节后脱位

Posterior dislocation of the elbow in children.

作者信息

Carlioz H, Abols Y

出版信息

J Pediatr Orthop. 1984 Jan;4(1):8-12. doi: 10.1097/01241398-198401000-00002.

DOI:10.1097/01241398-198401000-00002
PMID:6693573
Abstract

A series of 58 traumatic dislocations of the elbow observed over a 5-year period is reported. Average age of the children was 12 years old (range, 6 to 15 years). All dislocations were posterior. Neurovascular complications were few and transient in all cases. Associated fractures were present in 64% of the cases. In six cases (10%) closed reduction of the dislocation failed. Nineteen children (33%) were operated on, in most cases because of an associated fracture of the medial epicondyle. Results were the following: 21 excellent, 12 good, four fair, and two poor. Functional impairment was present only in the two cases with poor results. These occurred in patients in whom an associated fracture of the neck of the radius was present and were due to radioulnar synostosis.

摘要

报告了在5年期间观察到的一系列58例肘部创伤性脱位。儿童的平均年龄为12岁(范围为6至15岁)。所有脱位均为后脱位。所有病例的神经血管并发症均较少且为短暂性。64%的病例存在合并骨折。6例(10%)脱位的闭合复位失败。19名儿童(33%)接受了手术,大多数情况下是因为合并内侧髁上骨折。结果如下:21例优,12例良,4例可,2例差。仅2例结果差的病例存在功能障碍。这些病例发生在存在桡骨颈合并骨折的患者中,原因是桡尺骨融合。

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