Perron A D, Hersh R E, Brady W J, Keats T E
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA.
Am J Emerg Med. 2001 May;19(3):225-8. doi: 10.1053/ajem.2001.22656.
Occult dislocations at the wrist and elbow frequently accompany forearm fractures. When left unrecognized and untreated, these injuries lead to a high incidence of long-term functional disability and chronic pain. Emergency medicine practitioners need to be vigilant for both Galeazzi (distal radius fracture with radioulnar joint disruption), and Monteggia (proximal ulna fracture with radial head dislocation) fracture-dislocations. This review article examines the clinical presentation, diagnostic techniques, and management options applicable to the emergency practitioner.
腕部和肘部的隐匿性脱位常伴有前臂骨折。若未被识别和治疗，这些损伤会导致长期功能残疾和慢性疼痛的高发生率。急诊医学从业者需要对盖氏骨折（桡骨远端骨折伴桡尺关节脱位）和孟氏骨折（尺骨近端骨折伴桡骨头脱位）骨折脱位保持警惕。这篇综述文章探讨了适用于急诊从业者的临床表现、诊断技术和管理选择。
