Sauder David J, Athwal George S
Hand and Upper Limb Centre, St. Joseph's Health Care, University of Western Ontario, 268 Grosvenor Street, London, Ontario, Canada N6A 4L6.
Hand Clin. 2007 May;23(2):179-84, vi. doi: 10.1016/j.hcl.2007.01.004.
Isolated fractures of the ulnar shaft are common forearm injuries. Although seemingly benign, they may be complicated by nonunion, radioulnar synostosis, and loss of motion. Unstable fractures are those that are displaced more than 50 percent, angulated more than 10 degrees, or are located in the proximal third of the ulna. Stable fractures are managed well with forearm bracing. Unstable fractures are reliably treated with open reduction and internal fixation with compression plating.
尺骨干孤立性骨折是常见的前臂损伤。尽管看似良性，但可能会出现骨不连、桡尺骨融合和活动丧失等并发症。不稳定骨折是指移位超过50%、成角超过10度或位于尺骨近端三分之一处的骨折。稳定骨折采用前臂支具治疗效果良好。不稳定骨折通过切开复位和加压钢板内固定可得到可靠治疗。
