儿童肱骨远端全骨断分离的诊治分析

Diagnosis and Treatment of Total Epiphvsiolysis of Distal Humeral in Children

目的通过对儿童肱骨远端全骨骺分离的诊断和治疗进行分析,以提高临床医师对该病的认知,降低误诊率和漏诊率,改善患儿预后。方法选取2011年1月-2015年12月大连市儿童医院收治的38例肱骨远端全骨骺分离患儿。对其临床资料及随访结果进行回顾性分析。结果38例患儿中行切开复位克氏针交叉内固定23例,应用克氏针内固定联合石膏外固定闭合复位15例。术后肘关节功能恢复情况:优30例、良5例、中3例。结论儿童肱骨远端全骨骺分离,行解剖复位内固定的效果较为理想,超声和关节造影检查人助于本病的诊断。

Objective The diagnosis and treatment of distal humeral epiphysiolysis in children were analyzed in order to improve the cog nition of clinicians to the disease,reduce the rate of misdiag nosis and missed diag nosis,and improve the prognosis of children.Methods The clinical data and follow-up results of 38 children with distal humeral epiphysiolysis admitted to Dalian Children's Hospital from January 2011 to December 2015 were retrospectively analyzed.Results Among 38 cases,23 cases were treated with opcn reduction and cross fixation with Kirschner wire,and 15 cases were treated with closed reduction with Kirschner wire and plaster external fixation.The recovery of elbow joint function after opcration was excellent in 30 cases,good in 5 cases and middle in 3 cases.Conclusion The efleet of anatomical reduction and internal fixation for distal humeral epiphysiolysis in children is ideal.Ultrasound and arthrography arc helpful for the diagnosis of this disease.