To our knowledge,there is no report concerning medial epicondyle fracture of the humerus for infants,the clinical course and treatment outcome of an 11 -month-old boy with such fracture with ulnar nerve palsy was desc...To our knowledge,there is no report concerning medial epicondyle fracture of the humerus for infants,the clinical course and treatment outcome of an 11 -month-old boy with such fracture with ulnar nerve palsy was described in this article.Ulnar nerve detection and scar tissue release were performed.The bony fragment was anatomically reduced and fixed with an anchor.The above-elbow wellpadded anterior plastic splint was used postoperatively for 4 weeks.After removing the splint,the motion of hand had no obvious improvement accompanied with claw hand deformity,and nerve transplantation was suggested to the patient’s parent.We would like to remind clinicians of encountering the clinical manifestations to be vigilant for any possibilities.展开更多
目的探讨应用肱骨髁上短缩旋转楔形截骨联合尺神经原位松解治疗创伤性肘外翻合并迟发性尺神经炎的手术技术和疗效。方法回顾性分析2015年1月-2019年12月收治的10例创伤性肘外翻畸形合并迟发性尺神经炎患者病例资料。依据顾玉东推荐的肘...目的探讨应用肱骨髁上短缩旋转楔形截骨联合尺神经原位松解治疗创伤性肘外翻合并迟发性尺神经炎的手术技术和疗效。方法回顾性分析2015年1月-2019年12月收治的10例创伤性肘外翻畸形合并迟发性尺神经炎患者病例资料。依据顾玉东推荐的肘管综合征分期标准:轻度3例,中度3例,重度4例。所有患者均行肱骨髁上短缩旋转楔形截骨联合尺神经原位松解术治疗。结果术后随访时间为12~36个月,平均24个月,10例均达到骨性愈合。术后末次随访小指两点辨别觉(4.1±1.4)mm;握力(23.6±8.9)kg;提携角11.7°±4.5°;肘关节屈曲活动度116.4°±11.6°,各项指标手术前后差异具有统计学意义(P<0.05)。术后按Yokohama City University尺神经炎评分标准,改善率85%,肘关节功能评定按HSS评分系统进行评定,优良率90%。结论采用肱骨髁上短缩旋转楔形截骨术治疗创伤性肘外翻畸形外观的同时,恢复了肘关节正常生物力学;联合尺神经原位松解术治疗创伤性肘外翻合并的迟发性尺神经炎是一种可同时矫正肘关节旋转畸形、符合解剖学特点、对患者创伤小且疗效满意的联合术式。展开更多
文摘To our knowledge,there is no report concerning medial epicondyle fracture of the humerus for infants,the clinical course and treatment outcome of an 11 -month-old boy with such fracture with ulnar nerve palsy was described in this article.Ulnar nerve detection and scar tissue release were performed.The bony fragment was anatomically reduced and fixed with an anchor.The above-elbow wellpadded anterior plastic splint was used postoperatively for 4 weeks.After removing the splint,the motion of hand had no obvious improvement accompanied with claw hand deformity,and nerve transplantation was suggested to the patient’s parent.We would like to remind clinicians of encountering the clinical manifestations to be vigilant for any possibilities.
文摘目的探讨应用肱骨髁上短缩旋转楔形截骨联合尺神经原位松解治疗创伤性肘外翻合并迟发性尺神经炎的手术技术和疗效。方法回顾性分析2015年1月-2019年12月收治的10例创伤性肘外翻畸形合并迟发性尺神经炎患者病例资料。依据顾玉东推荐的肘管综合征分期标准:轻度3例,中度3例,重度4例。所有患者均行肱骨髁上短缩旋转楔形截骨联合尺神经原位松解术治疗。结果术后随访时间为12~36个月,平均24个月,10例均达到骨性愈合。术后末次随访小指两点辨别觉(4.1±1.4)mm;握力(23.6±8.9)kg;提携角11.7°±4.5°;肘关节屈曲活动度116.4°±11.6°,各项指标手术前后差异具有统计学意义(P<0.05)。术后按Yokohama City University尺神经炎评分标准,改善率85%,肘关节功能评定按HSS评分系统进行评定,优良率90%。结论采用肱骨髁上短缩旋转楔形截骨术治疗创伤性肘外翻畸形外观的同时,恢复了肘关节正常生物力学;联合尺神经原位松解术治疗创伤性肘外翻合并的迟发性尺神经炎是一种可同时矫正肘关节旋转畸形、符合解剖学特点、对患者创伤小且疗效满意的联合术式。
