Perron Andrew D, Brady William J
Department of Emergency Medicine, University of Virginia Health System, Box 800699, Charlottesville, VA 22908, USA.
Emerg Med Clin North Am. 2003 Feb;21(1):159-204. doi: 10.1016/s0733-8627(02)00086-x.
Orthopedic injuries are frequently seen in the ED. Whereas the diagnosis and management of most of these injuries is straightforward, there are distinct pitfalls to avoid. The common theme among the high-risk "pitfall" injuries discussed in this article, besides a thorough patient history and careful physical examination with appropriate radiographs, is a high suspicion for the presence of these injuries. When the EP is knowledgeable about these orthopedic pitfalls, these injuries are much less likely to slip by in clinical practice.
骨科损伤在急诊科很常见。虽然大多数此类损伤的诊断和处理都很简单，但仍有一些明显的陷阱需要避免。除了详细的患者病史、仔细的体格检查及合适的X光片外，本文讨论的高风险“陷阱”损伤的共同特点是对这些损伤的高度怀疑。当急诊医生了解这些骨科陷阱时，这些损伤在临床实践中漏诊的可能性就会小得多。
