Hölzl A, Verheyden A P
Klinik für Unfall-, Orthopädische und Wirbelsäulenchirurgie, Ortenau-Klinikum Lahr-Ettenheim, Akademisches Lehrkrankenhaus der Universität Freiburg im Breisgau, Klostenstrasse 19, 77933 Lahr, Deutschland.
Unfallchirurg. 2008 Sep;111(9):727-34. doi: 10.1007/s00113-008-1501-1.
Fractures of the olecranon account for 7% of fractures in adult patients. Of all elbow fractures, 38% are isolated fractures of the olecranon. Falling on the 90 degrees flexed elbow is the most common cause of isolated olecranon fractures. Reconstitution of the joint surface is the main treatment goal, as well as stability of the joint and full range of motion and muscular strength. This can only be achieved in most cases by open reduction and precision osteosynthesis. Tension band wiring and plate osteosynthesis are the most commonly used techniques. Operative therapy is the therapy of choice, since it permits early physical therapy. Some non-dislocated fractures and fractures in elderly and multimorbid patients are indications for conservative therapy.
尺骨鹰嘴骨折占成年患者骨折的7%。在所有肘部骨折中，38%为单纯尺骨鹰嘴骨折。肘部屈曲90度时摔倒，是单纯尺骨鹰嘴骨折最常见的原因。关节面重建是主要治疗目标，同时还包括关节稳定性、全范围活动度和肌肉力量。在大多数情况下，这只能通过切开复位和精确的骨固定来实现。张力带钢丝固定和钢板内固定是最常用的技术。手术治疗是首选治疗方法，因为它允许早期进行物理治疗。一些无移位骨折以及老年和多病患者的骨折是保守治疗的适应证。
