中国・四国整形外科学会雑誌
Online ISSN : 1347-5606
Print ISSN : 0915-2695
ISSN-L : 0915-2695
原著
肘頭骨切りアプローチにて手術を行った上腕骨小頭・滑車骨折(coronal shear fracture)の1例
川上 直明佐藤 和道大澤 誠也
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2014 年 26 巻 1 号 p. 91-95

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A 58-year-old woman suffered a coronal shear fracture at the distal end of the humerus. Olecranon osteotomy was used for repair. The fracture surfaces were freshened, and the fragment was fixed to the humerus with two screws, which were seated below the articular surface. At 2 weeks, gentle active motion was allowed to minimize any adhesion formation. The duration of follow-up at the most recent physical examination was 20 months. The range of elbow motion was from -5 to 140 degrees, and the patient had no pain. She obtained union of the fracture and a good functional result, with a JOA score of 96. She was pleased with the surgical result. Olecranon osteotomy is useful for treatment of coronal shear fracture at the distal end of the humerus.
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