论文部分内容阅读
肘关节尺侧副韧带损伤并非少见,但少有报道,现将我院1983年6月至1988年9月收治8例报道如下.一般资料本组8例中男5例,女3例,年龄13～47岁.左肘5例,右肘3例.均有明确的外伤史,其中7例为单纯尺侧副韧带损伤,1例合并前臂屈肌群起点撕裂.临床表现为肘关节严重肿胀,以尺侧为显(有3例肘部尺侧见大块淤斑);肘关节周围压痛,以尺侧关节间隙部最重;肘关节能主动屈伸运动,但难以全伸和全屈(本组主动屈伸运动范围60°以内),被动屈伸时,可引起剧烈疼痛;臂丛麻醉下将肘关节完全伸直,再作应力肘外翻.可见肘关节异常外翻.度数达30～45°;常规X线摄片显示无骨折或脱位,但摄肘关节外翻应力X线正位片,显示肘关节尺侧关节间隙阴显增宽.本组1例合并前臂屈肌群起点撕脱者,肘部尺侧压痛更为明显,触诊该肌肌腹膨隆,该处有一下凹裂隙,并有空虚阶梯感,抗阻力屈腕时更明显,且疼痛加重.本组无合并尺神经损伤.
The elbow ulnar collateral ligament injury is not uncommon, but few reports, now our hospital from June 1983 to September 1988 were treated 8 cases reported as follows General Information The group of 8 patients, 5 males and 3 females, age 13 to 47 years old.The left elbow in 5 cases, 3 cases of right elbow.All clear history of trauma, including 7 cases of ulnar collateral ligament injury, 1 cases of combined forearm flexor group starting point tear.The clinical manifestations of severe elbow Swollen to the ulnar as significant (3 cases of elbow ulnar see large ecchymosis); around the elbow tenderness to the ulnar joint space most heavy; elbow flexion and extension movements can be active, but difficult to stretch and flexor This group of active flexion and extension range of motion within 60 °), passive flexion and extension can cause severe pain; brachial plexus anesthesia will be fully extended elbow, and then elbow valgus valgus. Can be seen abnormal valgus elbow. °; conventional radiographs showed no fracture or dislocation, but take the elbow valgus stress X-ray film, showing the ulnar joint space between the yin broadened broadly.This group of 1 cases combined with the forearm avulsion rupture Elbow ulnar tenderness was more obvious palpation of the muscle bulge bulge, where there is a concave fissure, and a sense of emptiness ladder, wrist resistance when the more obvious, and Pain worse. There was no merger ulnar nerve injury.