摘要
目的桡尺骨分离是较少见的特殊损伤,探讨其发生机理、临床诊断和治疗。方法1990～1998年,收治4例同侧上、下尺桡关节损伤(桡尺骨分离伤)患者。其中3例早期确诊,手术治疗2例,手法复位1例。1例诊断延迟2个月,二次手术治疗。结果随访16个月～8年,平均46个月。肘关节和腕关节功能评定参照Trousdale引用的百分法,优4例。结论桡尺骨分离伤临床少见,损伤机制较特殊,早期确诊治疗效果好。
Objective To investigate the mechanism of radioulnar dissociation, an uncommon special injury, and its clinical diagnosis and treatment. Methods From 1990 to 1998, 4 patients with concurrent injuries of the proximal and distal radio ulnar joints were treated in my department. Of the 3 cases diagnosed early, 2 were treated with open reduction and internal fixation and 1 with closed reduction. The remaining one patient, whose radio ulnar dissociation was diagnosed 2 months later, had to be treated by secondary operation. Results The 4 patients were followed up for 16 months to 8 years (averaging 46 months). All had excellent results. Conclusion The early accurate diagnosis and early treatment of concurrent injuries of the elbow and the distal radio ulnar joint produce satisfactory results.
出处
《中华创伤骨科杂志》
CAS
CSCD
2004年第9期1003-1005,共3页
Chinese Journal of Orthopaedic Trauma
关键词
上尺桡关节
下尺桡关节
桡尺骨分离
Proximal radioulnar joint
Distal radioulnar joint
Radio Ulnar dissociation
