Musharafieh R S, Macari G
Department of Orthopaedic Surgery, American University of Beirut-Medical Center, Beirut, Lebanon.
J Emerg Med. 2000 Oct;19(3):265-70. doi: 10.1016/s0736-4679(00)00244-4.
Over a period of 5 years, 65 children under 12 years of age were diagnosed as having "wrist sprain" at the American University of Beirut Medical Center, Emergency Department. Thirty-eight children were reevaluated; 33 patients (86.8%) were diagnosed as having a Salter-Harris I fracture of the distal radius that necessitated further treatment to relieve symptoms and allow early wrist function. The diagnosis of "wrist sprain" is often inadequate in establishing a proper treatment regimen. Rather, by taking a careful history, performing an exacting examination, and utilizing appropriate diagnostic aids, an accurate diagnosis of wrist injury can be established.
在5年的时间里，65名12岁以下儿童在美国贝鲁特美国大学医学中心急诊科被诊断为“手腕扭伤”。对38名儿童进行了重新评估；33名患者（86.8%）被诊断为桡骨远端Salter-Harris I型骨折，需要进一步治疗以缓解症状并恢复早期手腕功能。“手腕扭伤”的诊断往往不足以确定适当的治疗方案。相反，通过仔细询问病史、进行精确检查并使用适当的诊断辅助手段，可以准确诊断手腕损伤。
