Chick G, Court C, Nordin J Y
Service de Chirurgie Orthopédique et Traumatologique, Hôpital Bicêtre, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre Cedex, France.
Rev Chir Orthop Reparatrice Appar Mot. 2001 Dec;87(8):765-72.
Unlike injuries involving only one of the forearm bones, complex lesions of the proximal end of the radius and the ulna are particularly unstable. Various situations-Monteggia fracture, transolecraneal dislocation, or fracture-dislocation-are encountered. The classification systems proposed to date and recalled here are insufficient, making it difficult to provide optimal therapy and also hindering comparison between published series. We propose a descriptive classification including all the anatomic varieties of complex fractures of the proximal end of the radius and the ulna. This classification is based on our experience with 38 cases and takes into account 4 basic elements: the height of the ulnar fracture line, the direction of the displacement of the proximal radius, the association of a fracture of the proximal radius and/or of the coronoid process.
与仅涉及前臂一根骨头的损伤不同，桡骨和尺骨近端的复杂损伤尤其不稳定。会遇到多种情况——孟氏骨折、经鹰嘴脱位或骨折脱位。此处回顾的迄今所提出的分类系统并不充分，难以提供最佳治疗方案，也妨碍了已发表系列研究之间的比较。我们提出一种描述性分类方法，涵盖桡骨和尺骨近端复杂骨折的所有解剖学类型。这种分类基于我们对38例病例的经验，并考虑了4个基本要素：尺骨骨折线的高度、桡骨近端移位的方向、桡骨近端骨折和/或冠状突骨折的合并情况。
