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创伤后桡骨扭转的X线诊断

[Roentgen diagnosis of post-traumatic radius torsion].

作者信息

Bade H

机构信息

Institut II für Anatomie, Universität zu Köln.

出版信息

Aktuelle Traumatol. 1992 Oct;22(5):209-13.

PMID:1361711
Abstract

Especially the identification of rotational malunions on the distal radius is difficult by routine diagnosis. Long-time effects like a chronic loss of articular surface of the posttraumatic rotation on the distal radioulnar joint are of clinical importance. Evading expensive diagnostic methods like CT simulated rotational malunions of the radius are quantitatively investigated on the basis of routine X-ray pictures only. The geometrical relation between the rotational angle of the radius and the two-dimensional distance from the dorsal to the volar border of the radial notch is described by a simple trigonometrical function. Considering morphological individualities of the radial notch and the rotational angles of right and left radii rotational malunions below 10 degrees are discovered and their effects on the forearm skeleton are assessed.

摘要

特别是通过常规诊断很难识别桡骨远端的旋转畸形愈合。创伤后旋转导致桡尺远侧关节关节面长期慢性丧失等长期影响具有临床重要性。仅基于常规X线片对桡骨旋转畸形愈合(规避如CT等昂贵的诊断方法)进行定量研究。桡骨旋转角度与桡骨切迹背侧至掌侧边缘的二维距离之间的几何关系由一个简单的三角函数描述。考虑到桡骨切迹的形态个体差异以及左右桡骨旋转畸形愈合小于10度的旋转角度,发现了这些情况并评估了它们对前臂骨骼的影响。

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