Gillingham B L, Wright J G
Department of Orthopedics, Naval Medical Center, San Diego, CA 92134-5000, USA.
Clin Orthop Relat Res. 1997 Jul(340):198-201. doi: 10.1097/00003086-199707000-00025.
Proximal radioulnar translocation is an extremely rare injury. Only seven cases have been reported previously. The authors report the case of a 6-year-old girl whose translocation was undiagnosed for more than 2 weeks. Definitive treatment required open reduction and use of a radiocapitellar pin to stabilize the proximal radius. At the 2-year followup, the patient has no symptoms and has resumed full activity with nearly full range of motion. To ensure early diagnosis of rare types of elbow dislocations, it is important to recognize the lack of supination and disruption of the radiocapitellar relationship on radiographs.
近端桡尺关节脱位是一种极其罕见的损伤。此前仅报道过7例。作者报告了一名6岁女孩的病例，其脱位在2周多的时间里未被诊断出来。确定性治疗需要切开复位并使用桡骨头钢针来稳定桡骨近端。在2年的随访中，患者无症状，已恢复全部活动，活动范围几乎完全正常。为确保早期诊断罕见类型的肘关节脱位，重要的是要认识到X线片上旋后功能缺失以及桡骨头关系的破坏。
