Abstract:
METHODS: A 10-year-old, postmenarchal girl presented to the emergency department with a closed, displaced, intercondylar T-type distal humerus fracture. Open reduction and internal fixation was performed 3 days following initial presentation. The patient healed but experienced elbow stiffness in the 7 months following the procedure. Implant removal and capsular release were performed at that time. At the 31-month follow-up, the patient reported satisfactory elbow functionality.
CONCLUSIONS: There is limited literature available discussing optimal management and associated outcomes of intercondylar T-type distal humerus fractures in the young-adolescent population. This report presents a possible method for management of the initial injury and the most common associated complication.
摘要:
方法:10岁,初潮后的女孩带着一个封闭的东西被送到急诊室,流离失所,肱骨远端髁间T型骨折。初次就诊后3天进行切开复位和内固定。患者愈合,但在术后7个月内出现肘部僵硬。在那时进行植入物去除和囊膜释放。在31个月的随访中,患者报告肘关节功能令人满意.
结论:讨论青年人群髁间T型肱骨远端骨折的最佳治疗和相关结局的文献有限。本报告提出了一种处理初始损伤和最常见的相关并发症的可能方法。