Abe M, Ishizu T, Nagaoka T, Onomura T
Department of Orthopaedic Surgery, Osaka Medical College, Japan.
J Bone Joint Surg Br. 1995 Jul;77(4):582-5.
Four patients who had injured the lower end of the humerus in childhood with resulting cubitus varus developed recurrent posterior dislocation of the head of the radius after further injury to the elbow. Dislocation occurred when the forearm was supinated and spontaneous reduction took place on pronation. At operation the lateral ligament complex was seen to be lax and elongated. After tightening of the ligament and with a supracondylar osteotomy of the humerus to correct the cubitus varus the recurrent dislocation was eliminated.
4例儿童期肱骨下端受伤并导致肘内翻的患者,在肘部再次受伤后发生了复发性桡骨头后脱位。脱位发生在前臂旋后时,旋前时可自行复位。手术中可见外侧韧带复合体松弛和拉长。在收紧韧带并进行肱骨髁上截骨术以矫正肘内翻后,复发性脱位得以消除。