| 桡骨远端骨折后下尺桡关节对应关系的变化及临床意义 |
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投稿时间：2006-09-07
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| 作者 | Author | 单位 | Address | E-Mail |
| 杨彬 |
YANG Bin |
日照市中医医院骨科,山东日照276800 |
Department of Orthopaedics,Hospital of TCM in City of Rizhao,Rizhao 276800,Shandong,China |
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| 王金泉 |
WANG Jin-quan |
日照市中医医院骨科,山东日照276800 |
Department of Orthopaedics,Hospital of TCM in City of Rizhao,Rizhao 276800,Shandong,China |
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| 李燕敏 |
LI Yan-min |
日照市中医医院骨科,山东日照276800 |
Department of Orthopaedics,Hospital of TCM in City of Rizhao,Rizhao 276800,Shandong,China |
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| 尹晓 |
YIN Xiao |
日照市中医医院骨科,山东日照276800 |
Department of Orthopaedics,Hospital of TCM in City of Rizhao,Rizhao 276800,Shandong,China |
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| 王功国 |
WANG Gong-guo |
日照市中医医院骨科,山东日照276800 |
Department of Orthopaedics,Hospital of TCM in City of Rizhao,Rizhao 276800,Shandong,China |
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| 王祥杰 |
WANG Xiang-jie |
日照市中医医院骨科,山东日照276800 |
Department of Orthopaedics,Hospital of TCM in City of Rizhao,Rizhao 276800,Shandong,China |
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| 陈卫衡 |
CHEN Wei-heng |
中国中医科学院望京医院 |
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| 期刊信息：《中国骨伤》2007年，第20卷，第5期，第317-319页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:研究桡骨远端骨折整复后桡骨纵向短缩距离（Δh）对下尺桡关节旋转功能的影响。
方法:临床60例患者,分别测定每一例患者桡骨远端骨折拆除外固定后桡骨纵向短缩距离Δh和下尺桡关节的旋转受限角度γ,Δh根据临床测定值分为0mm~、2mm~、4mm~、≥5mm4个区间,γ根据疗效评定标准分为优、良、可、差4个等级。分别计算出在每个区间上的优良可差的例数,并作统计学处理,得出相应的结论。
结果:①无尺侧变异组:40例,相关系数r=0.7402,P<0.0005,2mm~与4mm~组间P<0.05。②正向变异组:10例,相关系数r=0.7576,0.0005<P<0.001,Δh在0mm~与2mm~组间P=0.02<0.05。③负向变异组:10例,相关系数r=0.8242,0.0005<P<0.001,Δh在4mm~与≥5mm组间P=0.005<0.01。
结论:①无尺侧变异组:桡骨远端骨折整复后短缩距离Δh≥4mm时,下尺桡关节旋转功能受限严重,故Δh<4mm。②正向变异组:桡骨远端骨折整复后短缩距离Δh≥2mm时,下尺桡关节旋转功能受限严重,故Δh<2mm。③负向变异组:桡骨远端骨折整复后短缩距离Δh≥5mm时,下尺桡关节旋转功能受限严重,故Δh<5mm。 |
| 【关键词】桡骨骨折 手法,骨科 下尺桡关节 |
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| Effect on the distal radioulnar joint after reduction in fracture of the distal radius |
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ABSTRACT
Objective:To study the effect of the radius shorten distance after reduction in fracture of the distal radius,in case to construct a standard to reduce the complications and improve the rate of cure.
Methods:Sixty cases of patients,Δh and γ were measured.The shorten distance of the distal radius was marked with Δh,the limited degree of the wrist joint was marked with γ.According to the results of clinical measuring,the data of Δh was divided into four intervals:0 mm-,2mm-,4 mm-,≥5 mm.According to the standard,the data of γ was divided into four degrees:excellent,well,common,inferior.Then Δh and γ were disposed by statistical method.
Results:First,analyzing the patients without ulnar variant,there was statistical meaning between 2 mm-and 4 mm-of Δh for P<0.05.Second,analyzing the patients with plus variant,there was statistical meaning between 0 mm-and 2 mm-of Δh for 0.000 5<P<0.001.Third,analyzing the patients with minius variant,there was distinct difference between 4 mm-and ≥5 mm of Δh for P=0.005<0.01.
Conclusion:①When Δh≥4 mm,the rotary function of the distal radioulnar joint is seriously limited in the patients without ulnar variant.②When Δh≥2 mm,the rotary function of the distal radioulnar joint is seriously limited in the patients with plus variant.③When Δh≥5 mm,the rotary function of the distal radioulnar joint is seriously limited in the patients with minius variant. |
| KEY WORDS Radius fractures Manipulation,orthopaedic Distal radioulnar joint |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 杨彬,王金泉,李燕敏,尹晓,王功国,王祥杰,陈卫衡.桡骨远端骨折后下尺桡关节对应关系的变化及临床意义[J].中国骨伤,2007,20(5):317~319 |
| 英文格式: | YANG Bin,WANG Jin-quan,LI Yan-min,YIN Xiao,WANG Gong-guo,WANG Xiang-jie,CHEN Wei-heng.Effect on the distal radioulnar joint after reduction in fracture of the distal radius[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(5):317~319 |
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