Stricker S J, Thomson J D, Kelly R A
Department of Orthopedic Surgery, University of Miami/Jackson Memorial Medical Center, Florida.
Clin Orthop Relat Res. 1993 Sep(294):308-11.
A coronal plane fracture of the distal humerus in a child is an uncommon fracture, with the most familiar example being a capitellar fracture. An unusual coronal fracture of the entire distal humeral articular surface (capitellum and trochlea) occurred in a three-year-old boy. This fracture pattern has been described in adults but is believed to be previously unreported in children. This Salter-Harris Type IV fracture was initially misdiagnosed as a lateral humeral condyle fracture. Three years after treatment with open reduction and pin fixation, the distal humerus shows no evidence of growth disturbance.
儿童肱骨远端冠状面骨折是一种罕见的骨折,最常见的例子是肱骨小头骨折。一名三岁男孩发生了整个肱骨远端关节面(肱骨小头和滑车)罕见的冠状面骨折。这种骨折类型在成人中已有描述,但据信在儿童中此前尚未见报道。这种Salter-Harris IV型骨折最初被误诊为肱骨外侧髁骨折。切开复位和克氏针固定治疗三年后,肱骨远端未显示生长紊乱迹象。