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小儿肱骨髁上骨折是发生在肱骨下端肱骨内、外上髁上方2cm以内的骨折。以肘部疼痛,肿胀明显甚至有张力水泡,肘部畸形,活动障碍为主要表现。常见于10岁以下小儿,约占小儿肘部骨折的30%～40%,多因间接暴力引起。分伸直型和屈曲型两种,前者较多见[1]。2011年1月至2012年12月期间,笔者采用拔伸摇晃整复手法和小夹板外固定治疗小儿肱骨髁上骨折45例,疗效满意,现报道如下。
Pediatric humerus supracondylar fracture occurs in the lower humerus humerus, supracondylar fracture within 2cm. Elbow pain, swelling and even obvious tension blisters, elbow deformities, movement disorders as the main performance. Common in children under 10 years of age, accounting for about 30% of pediatric elbow fractures, mostly due to indirect violence. Divided straight type and flexion type two, the former is more common [1]. January 2011 to December 2012 period, the author adopted the method of stretching shakings and small splints external fixation of supracondylar fracture of the humerus in 45 cases, the effect is satisfactory, are reported below.