关键词: Atypical Equivalent Monteggia Segmental Atypical Equivalent Monteggia Segmental

来  源:   DOI:10.13107/jocr.2021.v11.i10.2488   PDF(Pubmed)

Abstract:
UNASSIGNED: Management of Mmonteggia fractures has always been debatable; Nnumerous variants have been described in the literature since its first description in 1814. We report a new variant of classical Mmonteggia fracture in a 33-year-old male.
UNASSIGNED: A 33-year old male was brought to the emergency room with an alleged history of assault and was managed with an external wound. Antero-Pposterior and lateral radiographs showed segmental ulna fracture and radial head dislocation. The Ppatient was managed surgically with open reduction internal fixation with reconstruction plate for segmental ulna and closed reduction of radial head was attempted after achieving an anatomical reduction of the ulna. Close attention was paid to the early post-operative mobilization of the elbow joint with the help of a Hinged elbow brace and terminal functional outcome re re-evaluated at 6six months with a DASH score of 11 and MAYO score of 92.
UNASSIGNED: We report a rare type 1 monteggia equivalent not described in the literature. Despite the variability of the monteggia equivalents, the principle of management remains the same. Early mobilization of the elbow is of utmost importance to avoid post-operative stiffness.
摘要:
UNASSIGNED:Mmonteggia骨折的治疗一直是有争议的;自从1814年首次描述以来,文献中已经描述了许多变体。我们报告了一名33岁男性的经典Mmonteggia骨折的新变体。
UNASISIGNED:一名33岁的男性被带到急诊室,据称有袭击史,并受到外部伤口的治疗。前后位和侧位X线片显示尺骨节段性骨折和桡骨头脱位。对患者进行手术治疗,采用切开复位内固定和重建钢板对节段尺骨进行治疗,并在实现尺骨解剖复位后尝试闭合复位桡骨头。在Hinged肘部支具的帮助下,密切关注肘关节术后的早期动员,并在第6个月重新评估了最终功能结果,DASH得分为11,MAYO得分为92。
UNASSIGNED:我们报告了文献中未描述的一种罕见的1型Monteggia等效物。尽管Monteggia等效物具有可变性,管理原则保持不变。肘部的早期动员对于避免术后僵硬至关重要。
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