肘关节造影在儿童陈旧性桡骨头脱位治疗中的应用价值

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Abstract Objective To discuss and analyze the application value of elbow anthrography in the treatment of chronic radial head dislocation in children.Methods There were 15 cases of old anterior dislocation of radial head，including 11 boys and 4 girls.The average age was 9 years old(3~11 years).The elbow arthrography was used to judge the relationship of the radial head and elbow capsule.The character of the dislocation was confirmed by opening the elbow capsule to observe the relationship of the radial head and capitellum，and to observe the shape the radial head.The proximal ulna was performed osteotomy for the reduction of the radial head.The plate and screws were used to fix the osteotomy cite.Results The radial heads were in the capsule in 12 cases and out of the capsule in 3 cases.There was no scar tissue between the radial head and capitellum in congenital cases when opening the joint capsule.The surfaces of radial heads were flat.Obvious scar tissue was between the radial head and capitellum in traumatic cases.The surfaces of radial heads were hollowed.The radial head and capitellum were in the same joint capsule in all congenital cases.The radial head were not in the joint capsule of 3 traumatic cases and in the joint capsule of 4 traumatic cases.Through average 2 years 4 months follow up，there were no redislocation or subluxation occurred.Conclusion Elbow arthrography has the assistant role to judge the dislocation of the radial head from congenital to traumatic reasons.Osteotomy of proximal ulna is an effective way to treat chronic dislocation of radial head in children.

Key words： arthrography children radial head dislocation diagnosis

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［1］苗武胜，汪兵，吴革，等.尺骨近端旋转截骨术治疗先天性桡骨头脱位11例报告［J］.中国骨与关节杂志，2017，6(7)：512-515.
［2］卢世璧，张伯勋.桡骨头脱位先天性与创伤性桡骨头脱位的鉴别［J］.中华骨科杂志，1984，4(6)：342-344.
［3］Yamazaki H，Kato H.Open reduction of the radial head with ulnar osteotomy and annular ligament reconstruction forbilateral congenital radial head dislocation：a case with long-term follow-up［J］.J Hand Surg Eur Vol，2007，32(1)：93-97.
［4］Kosay C，Akcali O，Manisali M，et al.Congenital anterior dislocation of the radial head：case with radiographic findings identical totraumatic dislocation［J］.Eur J Radiol，2002，43(1)：57-60.
［5］王继孟，王恒冰，王延宙，等.先天性桡骨头脱位的诊断与治疗［J］.临床小儿外科杂志，2002，1(1)：26-27.
［6］王科文，张锡庆，王晓东，等.先天性桡骨头脱位［J］.中华小儿外科杂志，2001，22(1)：34-35.
［7］Bengard MJL，Calfee RP，Steffen JA，et al.Intermediate-term to long-term outcome of surgically and nonsurgically treated congenital，isolated radial head dislocation［J］.J Hand Surg Am，2012，37(12)：2495-2501.
［8］GarcíaMata S，Hidalgo-Ovejero AM.Developmental anterior dislocation of the radial head resulting from a congenital solitaryosteochondroma of the proximal ulna in an infant［J］.Bull NYU Hosp Jt Dis，2010，68(1)：38-42.
［9］Song KS，Ramnani K，Cho CH.Long term follow-up of open realignment procedure for congenital dislocation of the radial head［J］.J Hand Surg Eur Vol，2011，36(2)：161-162.
［10］Karuppal R，Marthya A，Raman RV，et al.Case report：congenital dislocation of the radial head -a two-in-one approach［J］.F1000Res，2014，22(3)：22.
［11］Kim HT，Ahn TY，Jang JH，et al.A Graphic overlay method for selection of osteotomy site in chronic radiavl head dislocation：An evaluation of 3D-printed bone models［J］.J Pediatr Orthop，2017，37(2)：88-95.