Operation for chronic dislocation of the radial head in children. Reduction by osteotomy of the ulna.
نویسندگان
چکیده
Nine children with chronic post-traumatic dislocation of the head of the radius were treated by an osteotomy of the ulna with over-correction of the angular deformity and with elongation of the bone. Satisfactory results were obtained in eight cases, the only poor outcome following a three-year delay between the initial injury and the reposition. The interosseous membrane of the forearm appeared to be the most important structure in maintaining the corrected position of the radial head.
منابع مشابه
Chronic Radial Head Dislocation in Children. Treatment by Open Reduction and Ulnar Osteotomy
Purpose: To present the results of open reduction and angulating-distraction ulnar osteotomy in children with chronic radial head dislocation. Material and Methods: This is a retrospective review of 4 children (3 girls, one boy) with chronic radial head dislocation treated in our hospital between 2009 and 2012. The average age at the time of surgery was 6.6 (4.2 – 9.1 years).The interval betwee...
متن کاملCOMBINED MONTEGGIA LESION AND ELBOW DISLOCATION
This case is a 19-year-old soldier who suffered a combined elbow dislocation and posterior Monteggia fracture and dislocation (type II). The ulna fracture was managed by ORIF. The elbow dislocation was managed by closed reduction and immobilization in 900 flexion. The posteriorly dislocated radial head was kept reduced by a transarticular pin. After 6 months elbow and forearm motion was restric...
متن کاملUlnar Osteotomy with 2-Pin Unilateral Gradual Distraction for Treatment of Chronic Monteggia Fracture: A Case Report
Missed Monteggia fracture leading to chronic radial head dislocation is a known complication. The surgical treatment options remain challenging. The aim of treatment is to reduce the radial head and to maintain the stability of the elbow in all ranges of motion. A few surgical techniques have been described with complications. We report the case of a 13 years old boy with chronic radial head di...
متن کاملSurgical treatment of missed Monteggia lesions in children.
PURPOSE The treatment of an unrecognized Monteggia lesion continues to pose a therapeutic challenge, as evidenced by the variety of surgical techniques described. Moreover, there are high complication and redislocation rates following surgery. This report concerns a surgical technique to reduce a chronic dislocation of the radial head utilizing an ulnar osteotomy and internal fixation. METHOD...
متن کاملAnalysis of Radiographic Parameters of the Forearm in Traumatic Radial Head Dislocation
Background Various deformities can occur in the forearm bones when the traumatically dislocated radial head is untreated for a long period. Without correction of all deformities, reduction of the dislocated radial head is difficult to maintain, and forearm and elbow motion will deteriorate after reduction. We evaluated radiographic parameters of forearms with traumatically dislocated radial hea...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 69 4 شماره
صفحات -
تاریخ انتشار 1987