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Der Orthopäde

, Volume 42, Issue 1, pp 57–70 | Cite as

Posttraumatische Komplikationen am kindlichen Ellenbogen

  • T. KrausEmail author
  • S. Tauber
  • W. Linhart
CME Zertifizierte Fortbildung

Zusammenfassung

Die häufigsten Frakturen im Wachstumsalter betreffen die obere Extremität. Vor allem nach ellenbogengelenknahen Frakturen kommt es oft zu Komplikationen. Die Fugen um das Ellenbogengelenk sind am Längenwachstum nur mit 20% beteiligt und besitzen daher nur ein geringes Korrekturpotenzial. Auch die Möglichkeit der Spontankorrektur ist bereits mit dem 7. Lebensjahr ausgeschöpft. Die Konsequenzen einer unzureichend versorgten, ellenbogennahen Fraktur können den Patienten somit ein Leben lang begleiten. Für den behandelnden Chirurgen sind posttraumatische Fehlstellungen am kindlichen Ellenbogen eine Herausforderung. Häufig sind sie die Folge einer unzureichenden Primärtherapie und selten auf Wachstumsstörungen zurückzuführen. Die häufigste posttraumatische Fehlstellung ist der Cubitus varus, gefolgt vom Cubitus valgus. Beide Deformitäten können aus einer ungenügend behandelten suprakondylären Humerusfraktur, einer Condylus-radialis-Fraktur oder einer übersehenen Luxation des Radiusköpfchens resultieren.

Schlüsselwörter

Ellenbogengelenk Fehlstellungen Cubitus varus/valgus Wachstum Korrekturmöglichkeiten 

Posttraumatic complications on children’s elbows

Abstract

Most fractures during growth affect the upper extremities. Severe fractures with an increased number of complications are mainly localized beyond the elbow joint. Displaced fractures of the elbow joint have limited potential for spontaneous correction as the bones near the elbow joint account for only 20% of growth in length and the possibility of spontaneous correction is already exhausted at the age of 7. The consequences of inadequately reduced elbow fractures, therefore, may adversely affect a patient for his lifetime. Cubitus varus and valgus are the most common deformities following insufficiently treated supracondylar humerus fractures, fractures of the radial or dislocations of the radial head. Posttraumatic deformities of the elbow are usually the result of an insufficient primary therapy and rarely the result of growth disturbances. For the attending surgeon, posttraumatic deformities on a child’s elbow are challenging.

Keywords

Humeral fracture, immature skeleton Deformities Cubitus varus/valgus Growth Deformity correction 

Notes

Interessenkonflikt

Der korrespondierende Autor gibt für sich und seine Koautoren an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Abteilung für Kinderorthopädie, Universitätsklinik für KinderchirurgieMedizinische Universität GrazGrazÖsterreich

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