Fowles J V, Kassab M T
J Bone Joint Surg Am. 1980 Oct;62(7):1159-63.
Fracture of the medial humeral condyle in children is an epiphyseal injury, and it is probably caused by a valgus force incurred with the elbow extended, the origin of the flexor muscles and medial collateral ligament avulsing and rotating the condyle. The injury is uncommon and is easily misdiagnosed. Four children who were treated within one week of injury were seen more than one year later and had good results. Two patients who were treated late and another who was not treated had poor results. Early diagnosis, accurate reduction, and internal fixation are important to avoid growth disturbance, articular incongruence, and functional disability.
儿童肱骨内髁骨折是一种骨骺损伤，可能是由于肘关节伸直时受到外翻力，屈肌起点和内侧副韧带撕脱并使髁旋转所致。这种损伤并不常见，且容易误诊。4例在伤后1周内接受治疗的患儿，1年多后随访效果良好。2例治疗较晚的患者和另1例未接受治疗的患者效果不佳。早期诊断、准确复位和内固定对于避免生长紊乱、关节不平整和功能障碍很重要。
