Cappellino A, Wolfe S W, Marsh J S
Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, Yale-New Haven Hospital, Connecticut, USA.
J Pediatr Orthop. 1998 May-Jun;18(3):410-4.
We retrospectively reviewed five patients with chronic acquired dislocation of the radial head, treated with open reduction and ligament reconstruction with a slip of the triceps tendon. Three of the cases were posttraumatic, one was a dislocation resulting from a mass-occupying lesion, and one case was caused by recurrent radial head subluxation occurring after an initial traumatic episode. An ulnar osteotomy was used in one case to allow reduction of the radial head. All patients had a good postoperative functional and radiographic outcome, without postoperative complications. In two cases, there was slight loss of motion in relation to the contralateral extremity. Reconstruction of the annular ligament by using a strip of the triceps fascia is a safe and effective treatment in the treatment of chronic acquired radial head dislocation.
我们回顾性分析了5例桡骨头慢性获得性脱位患者，采用切开复位及肱三头肌腱条移位进行韧带重建治疗。其中3例为创伤后脱位，1例因占位性病变导致脱位，1例由初次创伤后反复出现的桡骨头半脱位引起。1例患者采用尺骨截骨术以利于桡骨头复位。所有患者术后功能及影像学结果均良好，无术后并发症。2例患者与对侧肢体相比有轻微活动度丧失。采用肱三头肌筋膜条重建环状韧带是治疗慢性获得性桡骨头脱位的一种安全有效的方法。
