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非典型的蒙特吉亚骨折脱位型3等效损伤在一个4岁男孩

Alparslan Uzun¹, Joud Abou Rdan², Elif Betül Balcı²

¹Department of Orthopaedics and Traumatology, Istanbul Medipol University, School of Medicine, TEM Avrupa Otoyolu, Göztepe Çıkışı No: 1, 34214, Bağcılar, Istanbul, Turkey.

Journal of orthopaedic case reports

|November 29, 2023

概括

本病例报告详细介绍了一名罕见的蒙特吉亚3型相当骨折脱位症儿童的病例,该病例已通过闭合缩减和内基尔施纳线固定成功治疗. 这种方法确保了稳定的减速和肘的完全移动性.

科学领域:

儿科整形外科儿科整形外科
创伤外科手术创伤外科
儿科骨折管理儿童骨折管理

背景情况:

蒙特吉亚骨折-脱位是常见的儿科伤害.
巴多分类系统根据辐射头部移位对这些伤害进行分类.
类型3涉及侧向辐射头部脱位与骨骨折;类型4涉及前部脱位与两骨骨折.

研究的目的:

报告儿童病人的蒙特吉亚3型等效损伤病例.
描述一个不寻常的骨折-脱位模式的成功管理.
为突出复杂的儿科前臂骨折的有效治疗策略.

主要方法:

一名4岁的男孩出现了蒙特吉亚骨折脱位.
最初的封闭缩减在重新定位辐射头方面没有成功.
治疗包括用内基尔施纳线固定和长臂 splint 进行封闭缩减.

主要成果:

描述的损伤呈现为侧向辐射头部脱,同时出现两骨前臂骨折,这是一个不寻常的变体.
手术干预成功地减少了辐射头部.
减少后,患者在肘部运动中没有受到限制,这表明结果是成功的.

结论:

蒙特吉亚3型等效病变需要谨慎管理.
内基尔施纳线固定是治疗这种复杂的儿科前臂骨折的有效方法.
这种方法确保了稳定的减少,并保持了关节功能.

关键词:

蒙特吉亚骨折是指蒙特吉亚骨折的发生.巴多的分类 bado的分类半径位移的变位骨骨折骨骨折骨骨折是一个

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