Jacob Adc, Khan Shm
Radiology Department, East Lancashire Hospitals NHS Trust, Blackburn, Lancashire BB2 3HH.
Br J Hosp Med (Lond). 2010 Jan;71(1):M6-9. doi: 10.12968/hmed.2010.71.Sup1.45983.
Elbow injuries are common and usually result from a fall onto an outstretched hand. Plain radiograph is the main modality used in the initial evaluation of these injuries. Clinical assessment can often be limited, especially in children who may be unable to communicate specific complaints and are sometimes difficult to examine reliably. Equally, interpretation of these radiographs is a daunting task as there are multiple ossification centres and normal variations. Therefore a good understanding of normal anatomy and common injury patterns is essential in evaluating elbow radiographs in the acute setting. This article reviews basic developmental anatomy, classical radiological signs and common elbow injuries.
肘部损伤很常见,通常是由于手掌伸展着地摔倒所致。普通X线片是这些损伤初始评估中使用的主要检查方式。临床评估往往存在局限性,尤其是对于那些可能无法表述具体不适且有时难以可靠检查的儿童。同样,由于存在多个骨化中心和正常变异,解读这些X线片是一项艰巨的任务。因此,在急性情况下评估肘部X线片时,充分了解正常解剖结构和常见损伤模式至关重要。本文回顾了基本的发育解剖学、典型的放射学征象和常见的肘部损伤。