TJPO典型病例:微创治疗完全移位桡骨颈骨折

2016-08-25   文章来源:天津小儿骨科TJPO zhang    点击量:194 我要说

  From Dr. Theddy Slongo: Dear Colleague, thank you very much for this nice presentation with the case; I am very happy that we could treat this tricky case in this nice way. I hope the patient will be happy.I also hope that in the future you will never open such a fracture and perform open fixation. ESIN is the Key!

  12岁男孩,“摔伤右肘部肿痛活动受限6小时”外院急诊转诊到天津医院,既往史无殊。

  术前 X光片

  术前查体:右肘部肿痛畸形活动受限,右手拇背伸、对掌、分并指活动良好,右桡动脉搏动及右手充盈良好,手部无明显感觉异常。

  影像学分析:右桡骨颈骨折(桡骨颈骨折,完全移位,Judet IV型)

  入院诊断:右桡骨颈骨折

  术中X光片

  完善术前检查,伤后两日于臂丛阻滞麻醉下行“右桡骨颈骨折克氏针辅助闭合复位弹性钉固定术”。

  复查X光片


  术后8年复查:右上肢无畸形,右肘屈伸、右前臂旋转活动无受限。

  (With partents' permission)


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