Chin J Sports MedJul. 2014Vol.33No mm Regan-Morrey ; 1.5 mm I II 1 mm [1] I AO 3 mm [2] C ; 16~69

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1 Chin J Sports MedJul. 2014Vol.33No.7 杨国勇向明陈杭胡晓川唐浩琛虞亚明 ( ) : : AO ; 16 ~68 45 ; 3 7 ;1 1 8 Regan- Morrey :I 2 7 III 1 ; O Driscoll :I 2 7 III 1 : X ~ ( 15 ~ 5 ) 135 (130 ~145 ); 1 ;1 1 Morrey : ; Short-term Clinical Outcome of Arthroscopic-assisted Management of Ulnar Coronoid Process Fractures Yang GuoyongXiang MingChen HangHu XiaochuanTang HaochenYu Yaming Department of Upper Extremity TraumatologySichuan Provincial Orthopedic HospitalChengdu China Corresponding Author:Xiang Ming josceph_xm@sina.com Abstract Objective To investigate the feasibility of arthroscopic reduction and fixation of ulnar coronoid process fracture. Methods 10 patients (6 male and 4 female)with ulnar coronoid process fracture were treated arthroscopically in our hospital and were followed up for an average of 12.5 months. There were 2 cases of type I7 cases of type IIand 1 case of type III according to the Regan Morrey Grouping;and 2 cases of type I7 cases of type IIand 1case of type III according to O Driscoll Grouping. Results All patients achieved full pronation and supination with an average elbow extension of 0 (hyperextension -15 to 5 )and average elbow flexion of 135 (130 to 145 ). Their Morrey Elbow Performance Scores were above 95. One patient had asymptomatic heterotopic ossification and two had hardware irritation. No elbow instability and neurovascular complications occurred. Conclusions The procedure yielded better vision field for anatomic reduction and achieved firm fixation and full recovery of elbow function. Key words arthroscopyulnar coronoid fracturesinternal fixation : : 向明 josceph_xm@sina.com

5 0 ( 15 ~ 5 ) 135 (130 ~145 ); 1 ;1 1 Morrey : ; Short-term Clinical Outcome of Arthroscopic-assisted Management of Ulnar Coronoid Process Fractures Yang GuoyongXiang MingChen HangHu XiaochuanTang

2 Chin J Sports MedJul. 2014Vol.33No mm Regan-Morrey ; 1.5 mm I II 1 mm [1] I AO 3 mm [2] C ; 16~ ; 3 7 ; Regan- Morrey [1] :I 2 7 III 1 ; O Driscoll [3] :I 2 7 III 1 ; ( X CT 1 2 MRI 30 ) 2 30 CT MRI MRI joy-stick 1.5 mm AO 3 mm Herbert ; ; ;95~100 80~94 50~79 50 ) [45] 5 ~ ~3 2~ Morrey [6] ( X [5] 10 6~ X CT

6 ; 3 7 ; Regan- Morrey [1] :I 2 7 III 1 ; O Driscoll [3] :I 2 7 III 1 ; ( X CT 1 2 MRI 30 ) 2 30 CT MRI MRI 10 1 90

3 Chin J Sports MedJul. 2014Vol.33No ( ~5 ) 135 (130 ~145 ) ; 10 Morrey 1~17 1 X 2 X 3 CT (Regan-Morrey II ) mm mm 1 mm mm

7 10 0 ( 1 2 15 ~5 ) 135 (130 ~145 ) ; 10

4 Chin J Sports MedJul. 2014Vol.33No X CT X [10] O Driscoll [3] 3 O Driscoll [1112] Regan -Morrey I O Driscoll I 30% [1213] Regan-Morrey I [7] Regan-Morrey 60% 67% 75%~80% O Driscoll [8] 75% Regan-Morrey I [9] Regan Morrey [1] [1415] I :I [16] Regan-Morrey

5 Chin J Sports MedJul. 2014Vol.33No.7 5 [1] Regan WMorrey BF.Fractures of the coronoid process of the ulna.j Bone Joint Surg(Am)198971: [2] Hausman MRKlug RAQuresh Set al. Arthroscopically assisted coronoid fracture fixation. A preliminary report. Clin Orthop Relat Res : [3] O Driscoll SWJupiter JBCohen MSet a1.difficult elbow fractures:pearls and pitfalls. Instr Course Lect200352: [4] O Driscoll SWMorrey BF. Arthroscopy of the elbow. Diagnostic and therapeutic benefits and hazards. J Bone Joint Surg(Am )199274: [5] Steinmann SP. Elbow arthroscopy. J Am Soc Surg Hand 20033: [6] Morrey BFChao EY. Functional evaluation of the elbow. In:Morrey BFed. The elbow and its disorders. Philadelphia:WB Saunders [7] Spencer EE JrKing JC. A simple technique for coronoid [17] fixation. Tech Shoulder Elbow Surg20034(1):1-3. [8] Fornalski SGupta RLee TQ. Anatomy and biomechanics of the elbow joint. Tech Hand Up Extrem Surg20037 (4): Garofalo [1815] [9] Chantelot CWavreille Gdos Remedios Cet al. Intra - articular compressive stress of the elbow joint in extension:an experimental study using Fuji films. Surg Radiol Anat200830(2): [10] Sanchez-Sotelo JO Driscoll SWMorrey BF. Anteromedial fracture of the coronoid process of the ulna. J Shoulder Elbow Surg200615(5):e5-e8. [11] Alcid JGAhmad CSLee TQ. Elbow anatomy and Liu [19] 2 Regan-Morrey I structural biomechanics. Clin Sports Med200423: [12] O Driscoll SWJaloszynski RMorrey BFet al. Origin of Julie [20] 7 the medial ulnar collateral ligament. J Hand Surg (Am) (ACL) : ACL [13] O Driscoll SWBell DFMorrey BF. Posterolateral rotatory instability of the elbow. J Bone Joint Surg(Am)199173: [14] Terada NYamada HSeki Tet al. The importance of reducing small fractures of the coronoid process in the treatment of unstable elbow dislocation. J Shoulder Elbow Surg20009(4): [15] Pugh DMWild LMSchemitsch EHet al.standard surgical protocol to treat elbow dislocation with radial head and coronoid fractures.j Bone Joint surg(am)200486: [16] Moon JGZobitz MEAn KNet al.optimal screw orientation for fixation of coronoid fractures. J Orthop Trauma : [17] Ring DJupiter JB. Surgical exposure of coronoid fractures. Tech Shoulder Elbow Surg20023(1): [18] Garofalo RBollmann CKombot Cet al.minimal invasive surgery for coronoid fracture:technical note.knee Surg Sports Traumatol Arthresc200513: [19] Liu SHHenry MBowen R. Complications of type I coronoid fractures in competitive athletes:report of two cases and review of the literature. J Shoulder Elbow Surg 19965: [20] Julie E. AdamsSheri M. MertenR.Net al.arthroscopic- Assisted Treatment of Coronoid Fractures. Arthroscopy (10):

$difficult elbow fractures:pearls and pitfalls. Instr Course Lect200352: 113-134. [4] O Driscoll SWMorrey BF. Arthroscopy of the elbow. Diagnostic and therapeutic benefits and hazards.$

2011-10彩

2011-10彩 11 年, 第 6 卷, 第 1 期临床研究等速运动训练在肘关节内骨折术后早期康复中的应用 1 任跃兵,3 杨利民张承韶刘鲁平滕学仁摘要目的 : 探讨肘关节内骨折术后患者应用等速运动训练进行早期系统康复治疗的疗效方法 : 选取 3 例肘关