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尺骨变异与舟骨骨折

Ulnar variance and scaphoid fracture.

作者信息

Ramos-Escalona J, García-Bordes L, Martínez-Galarza P, Yunta-Gallo A

机构信息

Department of Orthopaedic Surgery and Traumatology, Hospital General de Granollers, Granollers, Barcelona, Spain.

出版信息

J Hand Surg Eur Vol. 2010 Mar;35(3):195-7. doi: 10.1177/1753193409352281. Epub 2009 Dec 9.

DOI:10.1177/1753193409352281
PMID:20007423
Abstract

Between 1997 and 2006, radiographs of 66 scaphoid fractures were retrospectively reviewed to evaluate ulnar variance. Twenty-one (31.8%) patients had an 'ulna neutral' wrist, six (9.1%) had an 'ulna plus' and 39 (59.1%) had an 'ulna minus' wrist. The mean ulnar variance was -1.3 (SD 1.8) mm (range -5.5, 2.5). We observed a significant difference in the distribution of ulnar variance (P < 0.00001) and in the proportion of cases with ulna minus (OR = 5.0; 95% CI: 2.7, 9.3) compared to previous publications.

摘要

1997年至2006年间,对66例舟状骨骨折的X线片进行回顾性分析,以评估尺骨变异情况。21例(31.8%)患者腕关节为“尺骨中立位”,6例(9.1%)为“尺骨正向变异”,39例(59.1%)为“尺骨负向变异”。平均尺骨变异为-1.3(标准差1.8)毫米(范围-5.5至2.5)。与以往的研究相比,我们观察到尺骨变异的分布存在显著差异(P < 0.00001),尺骨负向变异的病例比例也有显著差异(比值比=5.0;95%置信区间:2.7至9.3)。

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Non-union of the ulnar styloid process in children is common but long-term morbidity is rare: a population-based study with mean 11 years (9-15) follow-up.儿童尺骨茎突未愈合较为常见,但长期发病率罕见:一项基于人群的研究随访时间平均为 11 年(9-15 年)。
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