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肘关节三联征的诊断和治疗进展

Hits: 2693 Download times: 1899 Received:September 20, 2015

作者	Author	单位	Unit	E-Mail
厚兆军	HOU Zhao-jun	平凉市第二人民医院骨科, 甘肃平凉 744000	Department of Orthopaedics, the Second People's Hospital of Pingliang City, Pingliang 744000, Gansu, China	1207690766@qq.com
王栓科	WANG Shuan-ke	兰州大学第二人民医院, 甘肃兰州 730000

期刊信息：《中国骨伤》2016年29卷，第7期，第677-680页

DOI：10.3969/j.issn.1003-0034.2016.07.021

肘关节三联征是一种复杂的肘关节骨折脱位，复位后肱尺关节和肱桡关节可达到同心圆复位、肘关节稳定，桡骨及冠突骨折块较小可保守治疗，但需定期复查。若需手术治疗，必须修复桡骨头骨折及外侧副韧带复合体。可以采用单一外侧入路也可以联合前内侧入路。MorryⅠ型和Ⅱ型冠状突骨折是否需固定，是否附加外固定支架固定及同时修复内侧副韧带损伤仍存在争议。

[关键词]:肘关节三联征桡骨头骨折冠突骨折肘关节后脱位

Progress on diagnosis and treatment of the terrible triad of elbow joint

Abstract:The terrible triad of elbow is a kind of complex elbow fracture dislocation, after reduction, it should get a concentric circles joint reduction and elbow stability, if radial and coronoid process fractures is less piece, the conservative treatment can be performed, but regularly follow-up is mandatory. If surgical treatment was chosen, radial head fractures and the lateral collateral ligament complex must be repaired. Single lateral approach can be used and also can be combined with anteromedial approach in surgery. Some problems are still controversial in the treatment of coronoid process fracture with Morry typeⅠand type Ⅱ, such as fixation or not, whether additional external fixation and repair of the medial collateral ligament injury at the same time.

KEYWORDS:Terrible triad of elbow Radial head fractures Coronoid process fracture Posterior dislocation of the elbow

引用本文，请按以下格式著录参考文献：

中文格式:	厚兆军,王栓科.肘关节三联征的诊断和治疗进展[J].中国骨伤,2016,29(7):677~680
英文格式:	HOU Zhao-jun,WANG Shuan-ke.Progress on diagnosis and treatment of the terrible triad of elbow joint[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(7):677~680

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