Shen Xiantao.Biomechanic foundations and recent advances of diagnosing & treating neglected Monteggia fracture[J].Journal of Clinical Pediatric Surgery,2019,18(11):897-901.[doi:10.3969/j.issn.1671—6353.2019.11.001]
陈旧性孟氏骨折的生物力学基础及诊疗进展
- Title:
- Biomechanic foundations and recent advances of diagnosing & treating neglected Monteggia fracture
- Keywords:
- Monteggia Fracture; Bionmechanics; Diagnosis; Therapy
- 分类号:
- R726.8;R683
- 摘要:
- 孟氏骨折是儿童常见的骨折类型之一,容易因漏诊成为陈旧性孟氏骨折。目前对于陈旧性孟氏骨折的诊治存在较大的争议。本文基于国内外有关陈旧性孟氏骨折诊治研究进展的相关文献,归纳总结了陈旧性孟氏骨折的生物力学基础及发生机制,并对陈旧性孟氏骨折治疗方案的选择、手术方式的确定以及术后并发症的处理进行评述。
- Abstract:
- Pediatric Monteggia fractures are one of the most common type of fracture in children,and sometimes it becomes missed Monteggia fractures due to neglected diagnosis. However,the diagnosis and treatment of missed Monteggia fractures are still controversial. Based on the current literature on the diagnosis and treatment of missed Monteggia fractures,the biomechanical basis and mechanism of the missed Monteggia fractures were summarized,and the treatment decisions,surgical methods and postoperative complications of the missed Monteggia fractures were comprehensively reviewed.
参考文献/References:
1 Fowles JV,Sliman N,Kassab MT.The Monteggia lesion in children.Fracture of the ulna and dislocation of the radial head[J].J Bone Joint Surg Am,1983,65(9):1276-1282.
2 Bouyala JM,Chrestian P,Ramaherison P.High osteotomy of the ulna in the treatment of residual anterior dislocation following Monteggia fracture (author’s transl)[J].Chir Pediatr,1978,19(3):201-203.
3 Bouyala JM,Bollini G,Jacquemier M,et al.The treatment of old dislocations of the radial head in children by osteotomy of the upper end of the ulna.Apropos of 15 cases[J].Rev Chir Orthop Reparatrice Appar Mot,1988,74(2):173-182.
4 Lloyd-Roberts GC,Bucknill TM.Anterior dislocation of the radial head in children:aetiology,natural history and management[J].J Bone Joint Surg Br,1977,59(4):402-407.
5 Boyd HB,Boals JC.The Monteggia lesion.A review of 159 cases[J].Clin Orthop Relat Res,1969,66:94-100.
6 Blackburn N,Ziv I,Rang M.Correction of the malunited forearm fracture[J].Clin Orthop Relat Res,1984,(188):54-57.
7 Papavasiliou VA,Nenopoulos SP.Monteggia-type elbow fractures in childhood[J].Clin Orthop Relat Res,1988,(233):230-233.
8 Bado JL.The Monteggia lesion[J].Clin Orthop Relat Res,1967,(50):71-86.
9 Tompkins DG.The anterior Monteggia fracture:observations on etiology and treatment[J].J Bone Joint Surg Am,1971,53(6):1109-1114.
10 Tan J,Mu M,Liao G,et al.Biomechanical analysis of the annular ligament in Monteggia fractures using finite element models[J].J Orthop Surg Res,2015,10:30.DOI:10.1186/s13018-015-0170-3.
11 Tan JW,Mu MZ,Liao GJ,et al.Pathology of the annular ligament in paediatric Monteggia fractures[J].Injury,2008,39(4):451-455.DOI:10.1016/j.injury.2007.07.010.
12 Barnes JW,Chouhan VL,Egekeze NC,et al.The annular ligament-revisited[J].J Shoulder Elbow Surg,2018,27(1):e16-e19.DOI:10.1016/j.jse.2017.07.031.
13 Farr LD,Werner FW,McGrattan ML,et al.Anatomy and biomechanics of the forearm interosseous membrane[J].J Hand Surg Am,2015,40(6):1145-1151.DOI:10.1016/j.jhsa.2014.12.025.
14 Abe S,Murase T,Oka K,et al.In Vivo Three-Dimensional Analysis of Malunited Forearm Diaphyseal Fractures with Forearm Rotational Restriction[J].J Bone Joint Surg Am,2018,100(17):e113.DOI:10.2106/JBJS.17.00934.
15 Nakamura T,Yabe Y,Horiuchi Y.In vivo MR studies of dynamic changes in the interosseous membrane of the forearm during rotation[J].J Hand Surg Br,1999,24(2):245-248.DOI:10.1054/jhsb.1998.0185.
16 Yoshida M,Goto H,Takenaga T,et al.Anterior and posterior bands of the anterior bundle in the elbow ulnar collateral ligament:ultrasound anatomy[J].J Shoulder Elbow Surg,2017,26(10):1803-189.DOI:10.1016/j.jse.2017.05.025.
17 Anderson A,Werner FW,Tucci ER,et al.Role of the interosseous membrane and annular ligament in stabilizing the proximal radial head[J].J Shoulder Elbow Surg,2015,24(12):1926-1933.DOI:10.1016/j.jse.2015.05.030.
18 Stoll TM,Willis RB,Paterson DC.Treatment of the missed Monteggia fracture in the child[J].J Bone Joint Surg Br,1992,74(3):436-440.
19 曾裴,杨建平,任秀智,等.儿童陈旧性孟氏骨折的手术治疗[J].中华骨科杂志,2012,32(5):457-461.DOI:10.3760/cma.j.issn.0253-2352.2012.05.014. Zeng P,Yang JP,Ren XZ,et al.Missed Monteggia fractures in children:pathological mechanism and surgical treatment[J].Chin J Orthop,2012,32(5):457-461.DOI:10.3760/cma.j.issn.0253-2352.2012.05.014.
20 Kim HT,Conjares JN,Suh JT,et al.Chronic radial head dislocation in children,Part 1:pathologic changes preventing stable reduction and surgical correction[J].J Pediatr Orthop,2002,22(5):583-590.
21 Nakamura K,Hirachi K,Uchiyama S,et al.Long-term clinical and radiographic outcomes after open reduction for missed Monteggia fracture-dislocations in children[J].J Bone Joint Surg Am,2009,91(6):1394-1404.DOI:10.2106/JBJS.H.00644.
22 Storen G.Traumatic dislocation of the radial head as an isolated lesion in children; report of one case with special regard to roentgen diagnosis[J].Acta Chir Scand,1959,116(2):144-147.
23 Ramirez RN,Ryan DD,Williams J,et al.A line drawn along the radial shaft misses the capitellum in 16% of radiographs of normal elbows[J].J Pediatr Orthop,2014,34(8):763-767.DOI:10.1097/BPO.0000000000000199.
24 Souder CD,Roocroft JH,Edmonds EW.Significance of the Lateral Humeral Line for Evaluating Radiocapitellar Alignment in Children[J].J Pediatr Orthop,2017,37(3):e150-e155.DOI:10.1097/BPO.0000000000000853.
25 Lincoln TL,Mubarak SJ."Isolated" traumatic radial-head dislocation[J].J Pediatr Orthop,1994,14(4):454-457.DOI:10.1097/01241398-199407000-00006.
26 Best TN.Management of old unreduced Monteggia fracture dislocations of the elbow in children[J].J Pediatr Orthop,1994,14(2):193-199.DOI:10.1097/01241398-199403000-00012.
27 Horii E,Nakamura R,Koh S,et al.Surgical treatment for chronic radial head dislocation[J].J Bone Joint Surg Am,2002,84(7):1183-1118.DOI:10.2106/00004623-200207000-00014.
28 Stragier B,De Smet L,Degreef I.Long-term follow-up of corrective ulnar osteotomy for missed Monteggia fractures in children[J].J Shoulder Elbow Surg,2018,27(11):e337-e343.DOI:10.1016/j.jse.2018.06.029.
29 Liao S,Pan J,Lin H,et al.A new approach for surgical treatment of chronic Monteggia fracture in children[J].Injury,2019,50(6):1237-1241.DOI:10.1016/j.injury.2019.04.017.
30 Hirayama T,Takemitsu Y,Yagihara K,et al.Operation for chronic dislocation of the radial head in children.Reduction by osteotomy of the ulna[J].J Bone Joint Surg Br,1987,69(4):639-642.
31 Song KS,Ramnani K,Bae KC,et al.Indirect reduction of the radial head in children with chronic Monteggia lesions[J].J Orthop Trauma,2012,26(10):597-601.DOI:10.1097/BOT.0b013e3182548981.
32 Bell Tawse AJ.The treatment of malunited anterior Monteggia fractures in children[J].J Bone Joint Surg Br,1965,47(4):718-723.
33 Chen HY,Wu KW,Dong ZR,et al.The treatment of chronic radial head dislocation in Monteggia fracture without annular ligament reconstruction[J].Int Orthop,2018,42(9):2165-2172.DOI:10.1007/s00264-018-3943-6.
34 Bhaskar A.Missed Monteggia fracture in children:Is annular ligament reconstruction always required?[J].Indian J Orthop,2009,43(4):389-395.DOI:10.1007/s11832-009-0202-9.
35 Lu X,Yan G,Wang Y,et al.Repositioning of the Annular Ligament in the Management of Missed Monteggia Fracture[J].J Pediatr Orthop,2017,37(1):20-22.DOI:10.1097/BPO.0000000000000584.
36 Delpont M,Jouve JL,Sales de Gauzy J,et al.Proximal ulnar osteotomy in the treatment of neglected childhood Monteggia lesion[J].Orthop Traumatol Surg Res,2014,100(7):803-807.DOI:10.1016/j.otsr.2014.06.022.
37 Ring D,Waters PM.Operative fixation of Monteggia fractures in children[J].J Bone Joint Surg Br,1996,78(5):734-739.
38 Rodgers WB,Waters PM,Hall JE.Chronic Monteggia lesions in children.Complications and results of reconstruction[J].J Bone Joint Surg Am,1996,78(9):1322-1329.DOI:10.2106/00004623-199609000-00005.
39 Freedman L,Luk K,Leong JC.Radial head reduction after a missed Monteggia fracture:brief report[J].J Bone Joint Surg Br,1988,70(5):846-847.
40 Tajima T,Yoshizu T.Treatment of long-standing dislocation of the radial head in neglected Monteggia fractures[J].J Hand Surg Am,1995,20(3 Pt 2):S91-S94.DOI:10.1016/s0363-5023(95)80177-4.
41 Kim HT,Park BG,Suh JT,et al.Chronic radial head dislocation in children,Part 2:results of open treatment and factors affecting final outcome[J].J Pediatr Orthop,2002,22(5):591-597.
42 Suzuki T,Seki A,Nakamura T,et al.Re-dislocation after corrective osteotomy for chronic dislocation of the radial head in children[J].Bone Joint J,2015,97(11):1582-1587.DOI:10.1302/0301-620X.97B11.36009.
43 Miyake J,Moritomo H,Kataoka T,et al.In vivo three-dimensional motion analysis of chronic radial head dislocations[J].Clin Orthop Relat Res,2012,470(10):2746-2755.DOI:10.1007/s11999-012-2325-4.
44 Thompson HC 3rd,Garcia A.Myositis ossificans:aftermath of elbow injuries[J].Clin Orthop Relat Res,1967,50:129-134.
45 Neviaser RJ,LeFevre GW.Irreducible isolated dislocation of the radial head.A case report[J].Clin Orthop Relat Res,1971,80:72-74.DOI:10.1097/00003086-197110000-00010.
46 Lichter RL,Jacobsen T.Tardy palsy of the posterior interosseous nerve with a Monteggia fracture[J].J Bone Joint Surg Am,1975,57(1):124-125.
47 Stein F,Grabias SL,Deffer PA.Nerve injuries complicating Monteggia lesions[J].J Bone Joint Surg Am,1971,53(7):1432-1436.
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备注/Memo
收稿日期:2019-09-24。