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儿童的肱骨外髁骨折亦称为肱骨外髁骨骺骨折,骨折部位常累及到肱骨小头和肱骨滑车之桡侧部。因为肱骨外髁骨折部位大部分由软骨构成,由于X线片软骨不显影,而且年龄越小,软骨越多,所以经常容易发生漏诊,治疗不当导致发生骨折不愈合,从而造成肘关节功能障碍,严重影响儿童的成长和生活质量。我院于2006年1月至2010年10月手术治疗儿童肱骨外髁骨折18例,取得满意结果。1资料与方法1.1临床资料本组18例,男12例,女6例;年龄4~10岁,平均7.6岁。右侧8例,左侧10例。骨折的原因:摔倒伤12例,交通伤4例,坠落伤2例。病理变化分型:Ⅱ型(侧方移位型)10例,Ⅲ型(旋转移位型)6例,Ⅳ型(骨折脱位型)2例。伤口变化情况分
Children’s humeral condylar fractures also known as epiphyseal humerus epiphysis fractures, fractures often involving the humeral head and the humeral pulley radial side. Because the humeral condylar fracture site mostly composed of cartilage, X-ray cartilage is not developing, and the younger, more cartilage, it is often prone to missed diagnosis, improper treatment lead to fracture nonunion, resulting in elbow dysfunction, Seriously affect children’s growth and quality of life. In our hospital from January 2006 to October 2010 surgery in children with lateral humeral fractures in 18 cases, and achieved satisfactory results. 1 Materials and Methods 1.1 Clinical data The group of 18 patients, 12 males and 6 females; aged 4 to 10 years, mean 7.6 years. Right side in 8 cases, left side in 10 cases. Causes of fractures: fall injury in 12 cases, 4 cases of traffic injuries, crashes in 2 cases. Pathological changes of type: type Ⅱ (lateral shift type) in 10 cases, type Ⅲ (rotational shift type) in 6 cases, type Ⅳ (fracture dislocation type) in 2 cases. Wound changes in points