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有症状的慢性桡骨头脱位的手术治疗:一种被忽视的孟氏骨折。

Surgical treatment of symptomatic chronic radial head dislocation: a neglected Monteggia fracture.

作者信息

Hurst L C, Dubrow E N

出版信息

J Pediatr Orthop. 1983 May;3(2):227-30. doi: 10.1097/01241398-198305000-00015.

DOI:10.1097/01241398-198305000-00015
PMID:6863531
Abstract

The treatment of the uncommon symptomatic and neglected Monteggia fracture-dislocation of childhood can pose a significant clinical problem because of pain, decreased range of motion, unstable cubitus valgus, and possible nerve damage. This unusual injury is presented with a detailed description of a modified Bell Tawse annular ligament reconstruction. The modifications of the procedure simplify it and more closely duplicate the anatomy of the annular ligament. This procedure is indicated in the treatment of the symptomatic and neglected Monteggia fracture-dislocation of childhood.

摘要

儿童罕见的有症状且被忽视的孟氏骨折脱位的治疗可能会带来重大临床问题,原因包括疼痛、活动范围减小、肘外翻不稳定以及可能的神经损伤。本文详细描述了一种改良的贝尔·陶斯环状韧带重建术,以介绍这种不寻常的损伤。该手术的改良简化了操作,并更接近环状韧带的解剖结构。此手术适用于治疗儿童有症状且被忽视的孟氏骨折脱位。

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