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中华肩肘外科电子杂志 ›› 2026, Vol. 14 ›› Issue (01) : 58 -61. doi: 10.3877/cma.j.issn.2095-5790.2026.01.009

病例报告

Herbert螺钉联合微型钢板及锚钉治疗Dubberley Ⅱ B型肱骨小头骨折合并LUCL损伤一例
李阳, 段广斌, 高阳阳()   
  1. 048000 晋城市人民医院骨科
  • 收稿日期:2025-04-01 出版日期:2026-02-05
  • 通信作者: 高阳阳
  • Received:2025-04-01 Published:2026-02-05
引用本文:

李阳, 段广斌, 高阳阳. Herbert螺钉联合微型钢板及锚钉治疗Dubberley Ⅱ B型肱骨小头骨折合并LUCL损伤一例[J/OL]. 中华肩肘外科电子杂志, 2026, 14(01): 58-61.

图1 术前X线及三维CT 图A:肘关节正位片可见碎骨块(红色箭头),肱桡关节关系基本正常;图B:肘关节侧位片可见"双弧征"(橙色箭头),骨折线(蓝色);图C:CT重建片可见尺骨鹰嘴(红色箭头)平面骨折提示滑车部受累(黄色箭头);图D-E:CT重建片可见肱骨小头后侧皮质粉碎(红色箭头);图F-H:术前CT重建的其他位置像
图2 术中直视下内固定装置固定良好 图A:3枚Herbert螺钉,2枚(黄色箭头)冠状位打入,1枚(黑色箭头)后前位打入,后外侧微型钢板作为后侧支撑,LUCL残端(黄色方块);图B:3.5 mm锚钉置入点(蓝色方块)
图3 术后X线及CT示内固定装置固定良好 图A:2枚冠状位Herbert螺钉(红色箭头)、3.5 mm锚钉(黄色箭头);图B:3.5 mm锚钉(黄色箭头)、后前位Herbert螺钉(绿色箭头);图C-D:冠状位Herbert螺钉将骨折块固定于内侧结构,前方穿出骨皮质(红色箭头),此位置并不影响肱尺关节屈伸活动
图4 患者随访复查肘关节功能 图A-B:术后1年复查示肘关节伸直活动良好;图C-D:术后1年复查示肘关节屈曲活动良好
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