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犬猫尺骨骨折合并桡骨近端骨骺脱位(孟氏损伤):28例病例回顾

Ulnar fracture and dislocation of the proximal radial epiphysis (Monteggia lesion) in the dog and cat: a review of 28 cases.

作者信息

Schwarz P D, Schrader S C

出版信息

J Am Vet Med Assoc. 1984 Jul 15;185(2):190-4.

PMID:6746388
Abstract

Ulnar fracture with dislocation of the proximal epiphysis of the radius (Monteggia lesion) was diagnosed in 16 dogs and 12 cats. The lesions were classified into 4 types on the basis of direction of the dislocation of the radial head and angulation of the ulnar fracture. Cranial dislocation of the radial head, with cranial angulation of the ulnar fracture (type 1 lesion) was the most common. Radial head chip fractures were frequently associated with the lesions. In 25 cases, open reduction and internal fixation were required. The most common postoperative complications were restricted range of motion in the elbow, osteoarthritis, and recurrent dislocation of the radial head. Follow-up evaluations in 16 cases revealed good to excellent results in 10 animals and fair to poor results in 6 animals.

摘要

在16只犬和12只猫中诊断出尺骨骨折合并桡骨近端骨骺脱位(孟氏骨折)。根据桡骨头脱位方向和尺骨骨折成角情况,将损伤分为4型。桡骨头向前脱位,尺骨骨折向前成角(1型损伤)最为常见。桡骨头骨折碎片常与这些损伤相关。25例病例需要切开复位内固定。最常见的术后并发症是肘关节活动范围受限、骨关节炎和桡骨头复发性脱位。16例随访评估显示,10只动物结果良好至优秀,6只动物结果一般至较差。

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