摘要
肘关节是儿童最常见的骨折部位之一。儿童具有次级骨化中心和生长板特殊解剖结构,不同年龄儿童出现次级骨化中心的时间不同,X线片表现也不同,治疗原则与成人差异较大。由于低龄儿童次级骨化中心未出现,发生轻度移位肱骨外髁骨折、肱骨内髁骨折、桡骨颈骨骺分离骨折、肱骨远端骨骺分离、孟氏骨折后肘关节解剖对位对线关系不明确,单纯依靠X线片难以诊断,称为X线片不可见(TRASH)骨折,易导致陈旧性骨折和肘关节畸形等后遗症。因此,笔者探讨低龄儿童肘关节TRASH骨折的诊疗陷阱及风险规避策略,为低龄儿童肘关节TRASH骨折诊治提供参考。
The elbow is one of the most common fracture sites in children who have variable secondary ossification centers and special anatomical structures of growth plates.Considering that children of different ages have different secondary ossification centers at different times and different X-ray manifestations,their treatment principles are quite different from those of adults.Because the secondary ossification center does not appear in younger children,the anatomical alignment and linear relationship of elbow joint is unclear after minimally displaced fracture of the lateral humeral condyle,medial humeral condyle fracture,transphyseal separation of the radial neck,transphyseal separation of the distal humerus and Monteggia fracture.Therefore,this type of fracture is not easily diagnosed with X-ray film alone,which is called the radiographic appearance seemed harmless(TRASH)fracture,and can easily lead to delayed fractures,elbow joint deformity and other sequelae.Therefore,the author discusses the pitfalls and corresponding strategies in the diagnosis and treatment of TRASH fracture of elbow in younger children,so as to provide references for the diagnosis and treatment of TRASH fracture of elbow.
作者
孙军
Sun Jun(Department of Orthopedics,Provincial Children′s Hospital of Anhui Medical University,Hefei 230051,China)
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2022年第12期1077-1082,共6页
Chinese Journal of Trauma
基金
国家自然科学基金(61976008)
安徽医科大学基金项目(2022xkj111)。
关键词
儿童
肘关节
X线片不可见骨折
Child
Elbow joint
Radiographic appearance seemed harmless fracture
