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首页> 外文期刊>MUSCULOSKELETAL SURGERY >Heterotopic ossification of the elbow after closed reduction and retrograde intramedullary nailing for radial neck fracture treated by anconeus interposition
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Heterotopic ossification of the elbow after closed reduction and retrograde intramedullary nailing for radial neck fracture treated by anconeus interposition

机译：闭合动脉复位后逆行髓内钉固定术治疗neck骨颈骨折后肘部异位骨化

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摘要

Heterotopic ossification around the elbow can lead to considerable functional disability. We describe a case of a 42-year-old man who developed heterotopic ossification of his elbow after closed reduction of the elbow dislocation and radial neck fracture and retrograde intramedullary nailing for radial neck fracture. During the follow-up after initial surgery, movements of the elbow were gradually deteriorated and diagnosed as heterotopic ossification of the elbow. Implant removal, radial head excision along with heterotopic mass, and also interposition of the anconeus muscle resulted in improvement of his elbow mobility. At 18 months of follow–up, patient had elbow flexion arc of 15°–110°, 70° of supination, and 50° of pronation without recurrence of heterotopic ossification. The uniqueness of this case lies in the treatment of heterotopic ossification of the elbow to prevent its recurrence, which was developed after retrograde intramedullary nailing for radial neck fracture following closed reduction.
机译：肘周围的异位骨化可导致相当大的功能障碍。我们描述了一例42岁的男性患者，该患者在闭合复位肘关节脱位和radial骨颈骨折并逆行髓内钉治疗radial骨颈骨折后发展为肘部异位骨化。在初次手术后的随访期间，肘部的运动逐渐恶化，并被诊断为肘部异位骨化。去除植入物，radial骨头切除和异位肿块，以及前突肌的插入均改善了他的肘关节活动性。在随访的18个月中，患者的肘部弯曲弧度为15°–110°，旋后角度为70°，旋前角度为50°，而异位骨化没有复发。这种情况的独特之处在于治疗肘部异位骨化以防止其复发，这是在闭合复位后逆行髓内钉治疗radial骨颈骨折后发展起来的。

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