儿童桡骨头前脱位

Proc R Soc Med. 1977 Sep;70(9):620-4. doi: 10.1177/003591577707000906.

Problems of unilateral isolated radial head dislocation have been reviewed in 28 children. A significant number indicated failure of recognition of the dislocation after injury. Disability due to increasing deformity and instability was consistently noted and indicated surgical reduction. Late reduction required reconstruction of the annular ligament. A modified method of reconstruction using a strip of triceps tendon is described. Good results are recorded in a small number of children in whom this was carried out.

对28例儿童单侧孤立性桡骨头脱位问题进行了回顾。相当一部分病例表明受伤后脱位未被识别。因畸形和不稳定加剧导致的残疾持续存在，提示需手术复位。晚期复位需要重建环状韧带。本文描述了一种使用肱三头肌腱条进行重建的改良方法。少数接受该手术的儿童取得了良好效果。