Ray T D, Tessler R H, Dell P C
Volusia Hand Surgery, Daytona Beach, FL 32114, USA.
J Pediatr Orthop. 1996 Mar-Apr;16(2):195-200. doi: 10.1097/00004694-199603000-00012.
A review of the orthopaedic literature suggests that traumatic ulnar physeal arrest associated with radial fracture is a rare occurrence. Twenty-three cases of traumatic ulnar physeal arrest have been reported in patients with distal radius fractures, and we report five additional cases. A classification system for the distal ulnar growth deformities is proposed, and the compensatory radial changes are reviewed. Surgical indications for treatment include cosmetic deformity, progressive carpal subluxation, and decreased range of motion. Surgical options for treatment are discussed and include epiphysiodesis, ulnar lengthening, radial osteotomy, and the Suave-Kapandji procedure.
对骨科文献的回顾表明，与桡骨骨折相关的创伤性尺骨骨骺阻滞是一种罕见的情况。已有23例桡骨远端骨折患者发生创伤性尺骨骨骺阻滞的报道，我们在此报告另外5例。本文提出了一种尺骨远端生长畸形的分类系统，并对桡骨的代偿性变化进行了综述。治疗的手术指征包括外观畸形、进行性腕骨半脱位和活动范围减小。文中讨论了治疗的手术选择，包括骨骺阻滞术、尺骨延长术、桡骨截骨术和苏阿韦-卡潘迪手术。
