骨科英文书籍精读（100）｜肱骨外髁骨折（1） / 四六文摘

对于天生精力无限的儿童来说,爬上跳下的淘气活动中发生骨折是一种非常常见的现象.儿童骨折有其特有的特点,应引起医生更多的注意,尤其对于不经常接触儿童骨折的骨科医师,往往出现漏诊,或误诊误治. 一.治疗的 ...

背景 1.骨化中心和骨骺的存在.骨骺的正常动态变化,增加儿童肘关节外伤的诊断难度 2.首选检查为X线,患儿依从性不佳,也增加诊断难度分型 1.Salter-Harris骨折分型五分之一的儿童 ...

受伤机制肱骨髁上骨折多为间接暴力所致,根据损伤机制可分为伸直型和屈曲型两种.伸直型髁上骨折的常见原因为跌倒时手掌撑地,同时肘部过伸及前臂旋前,表现为骨折远端位于骨折近端后方.屈曲型骨折为受伤时肘关节 ...

肱骨远端骨折占全身骨折的百分之二,由于其解剖复杂.功能要求高.临床分型多,且受伤机制多为高能量损伤,到目前为止仍是临床治疗难点.今天早读从分型出发详细解析治疗要点,值得学习借鉴! 1 肱骨远端骨折概述 ...

临床上,肱骨内髁骨折波及范围包括内上髁与滑车的大部分.受伤后肘内侧和内上髁周围软组织肿胀,或有较大血肿形成. 临床检查肘关节的等腰三角形关系存在.患者表现为疼痛,特别是肘内侧局部肿胀.压痛.正常内上髁 ...

Treatment If there is no displacement the arm can be splinted in a backslab with the elbow flexed 90 ...

Clinical features The elbow is swollen and deformed. There is tenderness over the lateral condyle. P ...

COMPLICATIONS OF RADIO-CARPAL FRACTURES Associated injuries of the carpus Injuries of the carpus are ...

Complications EARLY Vascular injury Always check the circulation (repeatedly!). Vigilance is requ ...

ALTERNATIVE METHODS OF TREATMENT If it is anticipated that the outcome of operative treatment will b ...

Treatment These are severe injuries associated with joint damage; prolonged immobilization will cert ...

TYPE A – SUPRACONDYLAR FRACTURES These extra-articular fractures are rare in adults. When they do oc ...

FRACTURES OF THE DISTAL HUMERUS IN ADULTS Fractures around the elbow in adults – especially those of ...

THREE-PART FRACTURES These usually involve displacement of the surgical neck and the greater tuberos ...

骨科英文书籍精读（100）｜肱骨外髁骨折（1）