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[肘关节脱位。诊断、治疗及结果]

[Elbow joint dislocation. Diagnosis, therapy, results].

作者信息

Habernek H, Orthner E

机构信息

Universitätsklinik für Unfallchirurgie, LKH Bad Ischl.

出版信息

Unfallchirurgie. 1991 Feb;17(1):19-23. doi: 10.1007/BF02588172.

DOI:10.1007/BF02588172
PMID:2042255
Abstract

Thorough knowledge of the anatomy and biomechanics in the elbow joint together with an special reference to constitutional variations is an important factor in understanding the pathomechanisms of its dislocation. We are presenting 27 case-reports of elbow-dislocations treated at the I. University Clinic for Traumatology in Vienna between 1979 and 1983. The so-called carrying angle showed no pathological deviation besides a tendency to cubitus valgus and hence elbow-joint to dislocation. Our results showed clearly that conservative treatment is possible and advisable in most cases. Only dislocation with osseous lesions and/or a tendency to redislocation after reduction should be operated on.

摘要

全面了解肘关节的解剖学和生物力学,并特别关注其结构变异,是理解肘关节脱位发病机制的重要因素。我们报告了1979年至1983年期间在维也纳第一大学创伤诊所治疗的27例肘关节脱位病例。除了有肘外翻倾向以及肘关节脱位倾向外,所谓的提携角未显示出病理性偏差。我们的结果清楚地表明,在大多数情况下,保守治疗是可行且可取的。只有伴有骨质损伤和/或复位后有再脱位倾向的脱位才应进行手术治疗。

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本文引用的文献

1
[Luxatio habitualis cubiti posterior].[习惯性肘后脱位]
Acta Chir Scand. 1949 Sep 3;98(3-6):511-22.
2
Capsular and ligament injuries of the elbow joint. A clinical and arthrographic study.肘关节的关节囊和韧带损伤。一项临床与关节造影研究。
Acta Chir Scand Suppl. 1962;Suppl 287:1-159.
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Arthrography of the elbow-joint.肘关节造影
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TRANSMISSION OF PRESSURES ACROSS THE ELBOW JOINT.压力通过肘关节的传递。
Anat Rec. 1964 Nov;150:243-7. doi: 10.1002/ar.1091500305.
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Acta Anat (Basel). 1962;48:224-31. doi: 10.1159/000141841.
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Biomechanics of elbow instability: the role of the medial collateral ligament.肘关节不稳定的生物力学:内侧副韧带的作用
Clin Orthop Relat Res. 1980 Jan-Feb(146):42-52.
7
Recurrent dislocation of the elbow.复发性肘关节脱位
J Bone Joint Surg Br. 1966 May;48(2):340-6.
8
[Isolated fractures of the coronoid processus of the ulna (author's transl)].尺骨冠突孤立性骨折(作者译)
Unfallheilkunde. 1976 Sep;79(9):395-8.
9
Biomechanical study of the elbow following excision of the radial head.
J Bone Joint Surg Am. 1979 Jan;61(1):63-8.
10
[Dislocation of the elbow (author's transl)].
Unfallheilkunde. 1979 Oct;82(10):418-26.