Nelson O A, Buchanan J R, Harrison C S
J Hand Surg Am. 1984 Mar;9(2):164-70. doi: 10.1016/s0363-5023(84)80134-3.
Four cases of arrest of distal ulnar physeal growth occurring in children ages 7 to 13 years had follow-up for 2 to 10 years. Each patient developed bowing of the radial diaphysis, ulnar translation of the distal radial epiphysis, and increased ulnar angulation of the distal radiocarpal joint surface. Growth discrepancies were documented in both the ulna (range 2.2 to 3.9 cm) and to a lesser extent the radius (range 0.2 to 1.6 cm) when compared to the opposite forearm in each patient. The progression of deformity appeared to be greatest during adolescence. Radial deviation and pronation were limited to varying degrees in each case. No patient had significant pain or functional impairment, but the cosmetic appearance was always displeasing. Indications for surgical treatment include increasing ulnar angulation of the distal radial articular surface, progressive loss of motion, and displeasing cosmetic appearance.
对4例年龄在7至13岁儿童发生的尺骨远端骨骺生长停滞进行了2至10年的随访。每名患者均出现桡骨干弓形弯曲、桡骨远端骨骺向尺侧移位以及桡腕关节远端关节面尺侧成角增加。与每名患者对侧前臂相比，尺骨生长差异记录在2.2至3.9厘米之间，桡骨生长差异较小，在0.2至1.6厘米之间。畸形进展在青春期似乎最为明显。每例患者桡偏和旋前均有不同程度受限。没有患者有明显疼痛或功能障碍，但外观总是不尽人意。手术治疗的指征包括桡骨远端关节面尺侧成角增加、活动度逐渐丧失以及外观不佳。
