Fracture of a persistent olecranon physis in an adult.
Fracture of a persistent olecranon physis in an adult.
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DOI：
10.1016/j.tcr.2015.03.001
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发表时间：
2015-03
影响因子：
--
通讯作者：
Sairyo K
中科院分区：
文献类型：
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作者：
Enishi T;Matsuura T;Suzue N;Sairyo K
尺骨鹰嘴骨骺板持续性骨折相对罕见，成人尺骨鹰嘴骨骺板持续性骨折更是罕见。对这种疾病的病理学知之甚少。我们报告一个36岁的男子提出了右肘疼痛后，他滑倒，击中他的肘部，与一个持续的症状性鹰嘴骨骺的历史，当他是一个初中棒球运动员。他被另一位医生诊断为鹰嘴骨骺持续性骨折。损伤后10周，在我院植入自体髂骨移植物，并使用克氏针和8字形张力带进行内固定。在组织学上，观察到骨折穿过持久性生长骨骺软骨和生长骨骺残余物的退化。鹰嘴侧的骨骺板残余未被新骨取代，但尺骨远端的骨骺板几乎被新骨取代。手术后6个月，患者恢复工作，没有出现疼痛或活动范围限制。在13个月随访时，取出内固定后观察到骨愈合的影像学证据。
A persistent olecranon physis is relatively rare; a fracture through the persistent olecranon physis in an adult is particularly rare. Little is known about the pathology of this disease. We report a case of a 36-year-old man presenting with right elbow pain after he had slipped and hit his elbow, with a history of a persistent symptomatic olecranon physis when he was a junior high school baseball player. He had been diagnosed with a fracture through a persistent olecranon physis by another doctor. Ten weeks after the injury, an iliac autograft was inserted and internal fixation was achieved with Kirschner wires and a figure-of-eight tension band in our hospital. Histologically, a fracture passed through the persistent physis cartilage and degeneration of the remnant of the physis was observed. The remnant of the physis at the olecranon side had not been replaced by new bone, though the physis at the distal ulnar was nearly replaced by new bone. The patient returned to work without experiencing pain or limitation in the range of motion 6 months after the operation. Radiographic evidence of bone union was seen after removal of internal fixation at the 13-month follow-up.