| 正骨手法复位治疗儿童尺桡骨下段背向移位骨折 |
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投稿时间：2017-02-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 赵俊峰 |
ZHAO Jun-feng |
河南省洛阳正骨医院, 河南 洛阳 471002 |
Luoyang Bone-setting Hospital, Luoyang 471002, Henan, China |
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| 张天健 |
ZHANG Tian-jian |
河南省洛阳正骨医院, 河南 洛阳 471002 |
Luoyang Bone-setting Hospital, Luoyang 471002, Henan, China |
zjf1102007@126.com |
| 高泉阳 |
GAO Quan-yang |
河南省洛阳正骨医院, 河南 洛阳 471002 |
Luoyang Bone-setting Hospital, Luoyang 471002, Henan, China |
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| 赵朝锋 |
ZHAO Chao-feng |
河南省洛阳正骨医院, 河南 洛阳 471002 |
Luoyang Bone-setting Hospital, Luoyang 471002, Henan, China |
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| 韩卢丽 |
HAN Lu-li |
河南省洛阳正骨医院, 河南 洛阳 471002 |
Luoyang Bone-setting Hospital, Luoyang 471002, Henan, China |
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| 陈刚 |
CHEN Gang |
河南省洛阳正骨医院, 河南 洛阳 471002 |
Luoyang Bone-setting Hospital, Luoyang 471002, Henan, China |
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| 期刊信息：《中国骨伤》2017年，第30卷，第7期，第664-668页 |
| DOI：10.3969/j.issn.1003-0034.2017.07.017 |
| 基金项目: |
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中文摘要:
目的：观察不同手法运用治疗儿童尺桡骨下段背侧移位骨折的复位效果。
方法：自2013年6月至2014年6月，运用正骨手法治疗儿童尺桡骨下段背侧移位骨折80例，男51例，女29例；年龄3~14岁，平均6.5岁；伤后至就诊时间l h~6 d；左侧31例，右侧49例；均为闭合性骨折。骨折重叠移位：Ⅰ型45例，Ⅱ型35例。通过临床表现及X线片检查观察骨折的移位情况，采用透视下不同手法复位固定，超腕固定3周后翻板再固定1~2周，去除夹板。根据Dienst评估标准进行腕关节临床功能评价。
结果：80例骨折患者均1次手法复位成功，均达到解剖复位或近解剖复位。80例患儿获得随访，时间3个月~l年。骨折均愈合，愈合时间4~5周，平均4.6周。80例患者去除夹板3个月后，优72例，良7例，可1例，优良率98.75%。
结论：正骨手法治疗儿童尺桡骨下段背侧移位骨折复位效果好，去夹板1个月后腕关节功能及手指力量逐渐恢复，3个月后恢复至正常状态。 |
| 【关键词】儿童 尺骨骨折 桡骨骨折 正骨手法 |
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| Bone setting manipulative reduction for the treatment of children's distal radioulnar fracture and dorsal dislocation |
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ABSTRACT
Objective: To observe the effect of different manipulative reduction for children's distal radioulnar fracture and dorsal dislocation.
Methods: From June 2013 to June 2014,80 children with distal radioulnar fracture and dorsal dislocation were treated by bone setting manipulative reduction including 51 males and 29 females with an average age of 6.5 years old ranging from 3 to 14 years old. Time from injury to treatment was 1 h to 6 d,31 cases were on the right,49 cases were on the left. Among them,45 cases were typeⅠof overlapping displacement,35 cases were typeⅡ. The displacement of the fracture was observed by clinical manifestations and X-ray examination. Under fluoroscopy,different techniques were used for reduction and fixation. After 3 weeks of over wrist fixation,the splints were overturned and fixed again for 1 to 2 weeks,then were removed. The wrist joint function was evaluated based on Dienst criteria.
Results: Eighty cases of fracture were successfully operated one time,all reached anatomic reduction or near anatomic reduction. Eighty children were followed up for 3 months to 1 year. All the fractures healed,and the healing time was 4 to 5 weeks with an average of 4.6 weeks. All patients removed the splint 3 months later,the results were excellent in 72 cases,good in 7 cases and fair in 1 case,the excellent and good rate was 98.75%.
Conclusion: Bone setting manipulation for children's distal radioulnar fracture and dorsal dislocation can get good reduction. At 1 month after the removal of the splint,wrist function and finger strength gradually recovered and returned to normal after 3 months. |
| KEY WORDS Child Ulna fractures Radius fractures Bone setting manipulation |
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| 中文格式: | 赵俊峰,张天健,高泉阳,赵朝锋,韩卢丽,陈刚.正骨手法复位治疗儿童尺桡骨下段背向移位骨折[J].中国骨伤,2017,30(7):664~668 |
| 英文格式: | ZHAO Jun-feng,ZHANG Tian-jian,GAO Quan-yang,ZHAO Chao-feng,HAN Lu-li,CHEN Gang.Bone setting manipulative reduction for the treatment of children's distal radioulnar fracture and dorsal dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(7):664~668 |
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