| 创伤性肘关节不稳的临床分析 |
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Received:October 20, 2003
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| 期刊信息：《中国骨伤》2004年17卷，第4期，第212-214页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:通过创伤性肘关节不稳的临床分析,提高该病的诊治水平。
方法:对2001年1月-2002年12月收治的56例肘关节不稳病例进行回顾性分析,内容包括性别、年龄分布、受伤机制、伴发损伤、治疗方法和结果。
结果:56例肘关节不稳中男22例,女34例;后外侧旋转脱位51例;50例的受伤机制是上肢过伸位的撑地伤;单纯性脱位40例,复合性脱位16例;伴发周围神经损伤4例;非手术治疗51例,手术治疗5例;随访中有3例关节功能位固定,22例有超过10°的关节伸直受限。
结论:绝大多数的创伤性肘关节不稳为单纯性后外侧旋转脱位,肘过伸、旋后位的轴向应力是其主要的受伤机制,治疗以非手术外固定为主,部分复合性脱位需行骨折内固定和软组织修复与重建。 |
| [关键词]:关节不稳定性 创伤 流行病学 |
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| Clinical analysis of traumatic elbow instability |
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Abstract:
Objective: To analyzed effect of traumatic elbow instability and to increase its level of diagnosis and treatment.
Methods: From January 2000 to December 2002,56 cases of traumatic elbow instability were retrospectively analyzed,including distributions of sex and age,traumatic mechanisms,combined injures and therapeutic methods and results.
Results: Male and female were 22 and 34 cases respectively in 56 cases of traumatic elbow instability;among them,the directions of displacement of 51 cases were posterolateral;50 cases happened as a result of falls on the out-stretched hand;the simple and complex displacements were 40 and 16 cases respectively;combined peripheral nerve injuries had 4 case.The non-operative and operative therapy were applied respectively in 51 and 5 cases;the follows-up results showed that 3 cases had immobilized elbows in functional position and 22 cases suffered from >10° extension limitation of elbow.
Conclusion: The majority of traumatic elbow instability are simple posterolateral rotatory displacements resulting from the axial force on the out-stretched elbow with supination.The non-operative therapies are principal modalities.Some complex displacements require internal fixations,soft tissue repair and reconstruction for combined fractures. |
| KEYWORDS:Joint instability Trauma Epidemiology |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 章军辉,郝永强,陈永强.创伤性肘关节不稳的临床分析[J].中国骨伤,2004,17(4):212~214 |
| 英文格式: | ZHANG Jun-hui,HAO Yong-qiang,CHEN Yong-qiang.Clinical analysis of traumatic elbow instability[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(4):212~214 |
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