儿童经鹰嘴肘关节前脱位治疗方法的探讨  

Treatment of anterior transolecranon fracture dislocation of the elbow in children

作　　者：齐建飞 万世奇[2] 杨征[2] Qi Jianfei;Wan Shiqi;Yang Zheng(Department of Orthopedics, Beijing Huairou Hospital, Beijing 101400, China)

机构地区：[1]北京怀柔医院骨科,101400 [2]北京积水潭医院小儿骨科

出　　处：《北京医学》2018年第5期443-445,450,共4页Beijing Medical Journal

摘　　要：目的探讨儿童经鹰嘴肘关节前脱位的诊断与治疗。方法回顾分析2002-2016年收治的8例儿童经鹰嘴肘关节前脱位(北京积水潭医院7例、北京怀柔医院1例)患儿的临床资料,其中手术治疗6例,保守治疗2例。结果随访时间5~8个月,平均6个月。肘关节活动度:屈133°(130°~140°),伸5°(0°~15°),前臂旋前66°(60°~70°),旋后83°(80°~90°),均获骨折一期愈合,无肘关节再脱位、创伤性关节炎等并发症。结论儿童经鹰嘴肘关节前脱位是关节内骨折,多合并较重的软组织损伤,大多数情况手法整复不能获得满意复位,当闭合复位失败后,需行切开复位内固定手术。Objective To investigate the diagnosis and treatment of anterior transolecranon fracture dislocation of the elbow in children. Methods Clinical data of 8 cases of anterior transolecranon fracture dislocation of the elbow admitted from 2002 to 2016 were retrospectively reviewed（7 in Beijing Jishuitan Hospital, 1 in Beijing Huairou Hospital）, including 6 cases of surgical treatment and 2 cases of conservative treatment. Results The patients were followed up for 5～8 months, with a mean time of 6 months. The mean flexion of elbow was 133°（130°～140°）, extension was 5°（0°～15°）,forearm pronation was 66°（60°～70°）, supination was 83°（80°～90°）. All fractures were healed. There was no redislocated nor traumatic arthritis. Conclusion Anterior transolecranon fracture dislocation of the elbow in children is intra-articular fracture, usually combined with severe soft tissue injury. In most cases, satisfactory reduction can not be achieved by closed reduction. If closed reduction failed, open reduction and internal fixation is necessary.

关 键 词：经鹰嘴肘关节前脱位 手术治疗 保守治疗 儿童 

分 类 号：R726.8[医药卫生—儿科]