中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
1999年
2期
99-100
,共2页
肱骨%经髁骨折
肱骨%經髁骨摺
굉골%경과골절
Humeral fractures%Transcondlar fractures
目的 研究肱骨经髁骨折的诊断和治疗,以避免误诊和肘内翻发生.方法 报道16例肱骨经髁骨折,男10例,女6例.年龄从分娩第一天到7岁,平均3岁.结合文献资料进行回顾和分析.结果 本组2例误诊为肘关节脱位,1例误诊为肱骨外髁骨折,1例闭合复位失败改行切开复位.余均采用闭合复位.随访12例,随访时间2～10年,治疗效果良好.结论 Delee A型需和肘关节脱位鉴别,B型和C型由于肱骨小头骨化中心出现,小头和挠骨近侧的正常关系成为诊断的关键:笔者主张闭合复位,长臂石膏后托固定于屈肘,前臂旋前位,以维持复位,减少肘内翻.
目的 研究肱骨經髁骨摺的診斷和治療,以避免誤診和肘內翻髮生.方法 報道16例肱骨經髁骨摺,男10例,女6例.年齡從分娩第一天到7歲,平均3歲.結閤文獻資料進行迴顧和分析.結果 本組2例誤診為肘關節脫位,1例誤診為肱骨外髁骨摺,1例閉閤複位失敗改行切開複位.餘均採用閉閤複位.隨訪12例,隨訪時間2～10年,治療效果良好.結論 Delee A型需和肘關節脫位鑒彆,B型和C型由于肱骨小頭骨化中心齣現,小頭和撓骨近側的正常關繫成為診斷的關鍵:筆者主張閉閤複位,長臂石膏後託固定于屈肘,前臂鏇前位,以維持複位,減少肘內翻.
목적 연구굉골경과골절적진단화치료,이피면오진화주내번발생.방법 보도16례굉골경과골절,남10례,녀6례.년령종분면제일천도7세,평균3세.결합문헌자료진행회고화분석.결과 본조2례오진위주관절탈위,1례오진위굉골외과골절,1례폐합복위실패개행절개복위.여균채용폐합복위.수방12례,수방시간2～10년,치료효과량호.결론 Delee A형수화주관절탈위감별,B형화C형유우굉골소두골화중심출현,소두화뇨골근측적정상관계성위진단적관건:필자주장폐합복위,장비석고후탁고정우굴주,전비선전위,이유지복위,감소주내번.
Objective To review the experience in management of transcondylar fracture of humerus in children.Methods Sixreen children,10 boys and 6 girls,with transcondylar fracture of humerus,were followed-up for 2 to 10 years.The fracture was categorised into type A(n=6),B(n=6)and C(n=4)according to Ddee's classification.Results Two patients were misdiagnosed as dislocation of elbow and one as fracture of the lateral condyle of the humerus.Clue reduction was carriod out in 12 patients with excellent results.Conclusions Delee type A fracture should be differentiated from dislocation of elbow.Close reduction is the treatment of choice.A line drawn along the long axis of radius.which usually passes through capitulum,is the key to diagnose type B and C fractures.The elbow should be fixed in flexed position with forearm pronated.This minimised cubitus varus deformity and displacement during immobilization.
