摘要
目的 提高对儿童肱骨远端全骨骺分离的认识,减少误诊。方法 对我院1985～2001年收治的22例肱骨远端全骨骺分离误诊患儿,切开复位内固定治疗13例,闭合复位外固定治疗7例,尺骨鹰嘴牵引2例。结果 随访1～16年,14例外观和功能恢复满意,5例有不同程度的肘内翻畸形(3例已行截骨矫形),3例肱骨远端明显畸形,关节活动明显受限。结论 此病误诊率较高,仔细分清幼儿及儿童肱骨小头骨化中心和桡骨的关系是正确诊断的关键。
Objective To improve the diagnosis and management of the entire distal humeral epiphysiolysis, and to decrease the misdiagnosis and complication. Methods Twenty - two children with entire distal humeral epiphysiolysis were treated and followed - up from 1985 to 2001 in our hospital. Open reduction was carried out in 13 patients and close reduction in 7 cases, skeletal traction through decronon of ulna were carried out in 2 cases. Result All were followed- up for ml to 16 years, excellent results were obtained in 14 cases, cubes virus were found in 5 cases, and poor in 3 cases. Conclusions This kind of trauma is easily misdiagnosed. Recognizing the exact position of the axis of radius and optimum of humerus is the key to diagnose the fracture in children.
出处
《临床外科杂志》
2003年第3期170-171,共2页
Journal of Clinical Surgery
关键词
肱骨
骨骺分离
儿童
误诊
humerus
epiphysiolysis
children
misdiagnosis
