CAJ | 학술논문

尺骨冠状突骨折临床并不少见，但治疗较为棘手。Regan-Morrey Ⅰ、Ⅱ型骨折对肘关节的稳定性无显著影响，可采用保守治疗。对部分Ⅱ型骨折伴肘关节后脱位，因复位后有再次脱位的潜在危险，需要行手术治疗。尺骨冠状突骨折常伴发肘关节其他组织的损伤，应争取在第一时间行肘关节脱位手法复位，石膏托或支具外固定保护。肿胀严重发生筋膜室综合征时应早期切开减张。手术多取内侧入路，合并外侧副韧带损伤时联合使用外侧入路；内固定材料有微型钛板、微型螺钉、可吸收螺钉、空心拉力钉、带线锚钉、外固定支架、冠状突假体置换等。
척골관상돌골절림상병불소견，단치료교위극수。Regan-Morrey Ⅰ、Ⅱ형골절대주관절적은정성무현저영향，가채용보수치료。대부분Ⅱ형골절반주관절후탈위，인복위후유재차탈위적잠재위험，수요행수술치료。척골관상돌골절상반발주관절기타조직적손상，응쟁취재제일시간행주관절탈위수법복위，석고탁혹지구외고정보호。종창엄중발생근막실종합정시응조기절개감장。수술다취내측입로，합병외측부인대손상시연합사용외측입로；내고정재료유미형태판、미형라정、가흡수라정、공심랍력정、대선묘정、외고정지가、관상돌가체치환등。
[Summary] Ulna coronoid process fractures are not uncommon in clinical practice,but its treatment is difficult.Regan-Morrey type Ⅰ and Ⅱ fracture has no significant effect on the stability of the elbow joint,thus conservative treatment can be used.For some type Ⅱ fractures combined with elbow posterior dislocation,surgical treatment is required because of the potential danger of recurrent dislocation after reduction.Ulna coronoid process fractures often accompany other tissue injury,therefore manipulative reduction and external fixation with a cast or brace should be given as soon as possible.Once severe swelling complicated with bone fascia compartment syndrome,early decompression should be performed.The surgery can be carried out via medial approach,or in combination with lateral approach when lateral collateral ligament injury exists.Internal fixation materials include miniature titanium plate,micro screws,absorbable screws,hollow screw,anchor nail,external fixator and coronoid process of prosthetic replacement.