论文部分内容阅读
本文报告2例儿童肘关节开放脱位合并肱动脉损伤的病例并复习了有关文献,认为儿童骨胳尚未发育完全,外力作用首先导致骨折发生,因此,肘关节脱位少见.一旦有脱位发生往往合并有骨折等并发症.肱动脉受到纵向牵拉和向后移位是闭合性肘关节脱位肱动脉受损的主要机制.肱动脉在肘部有较大的移动度,可部分抵消牵拉作用,故闭合性肘关节脱位合并肱动脉损伤罕见.开放性脱位大多有作用于肘部的直接暴力存在,肱动脉在肘部位置表浅,易于受损.治疗上肘关节复位后应争取一期修复动脉.跨关节内固定可导致骨垢损伤和关节活动受限,故不宜采用.
This article reports 2 cases of elbow dislocation in children with brachial artery injury and reviewed the literature that the child has not yet fully developed bone skeleton, the first external force caused by fractures, therefore, elbow dislocation rare. Once the dislocation often merged with Fractures and other complications.The brachial artery by the longitudinal pull and backward displacement is the main mechanism of closed brachial artery elbow dislocation of the brachial artery brachial artery in the elbow has a greater degree of mobility can be partially offset by the pulling effect Closure of elbow dislocation with brachial artery injury is rare.Open dislocation mostly exists in the presence of direct violence on the elbow, the brachial artery in the elbow position superficial, easy to damage.Rehabilitation should be on the elbow after treatment for a repair of the arteries Cross-joint fixation can lead to bone scale damage and limited joint activity, so it should not be used.