Carlsen Brian T, Dennison David G, Moran Steven L
Division of Plastic Surgery, Department of Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Hand Clin. 2010 Nov;26(4):503-16. doi: 10.1016/j.hcl.2010.05.009.
This article reviews acute dislocations of the distal radioulnar joint (DRUJ) and distal ulna fractures. Acute dislocations can occur in isolation or in association with a fracture to the distal radius, radial metadiaphysis (Galeazzi fracture), or radial head (Essex-Lopresti injury). Distal ulna fractures may occur in isolation or in combination with a distal radius fracture. Both injury patterns are associated with high energy. Outcomes are predicated on anatomic reduction and restoration of the stability of the DRUJ.
本文综述了桡尺远侧关节(DRUJ)急性脱位和尺骨远端骨折。急性脱位可单独发生,或与桡骨远端、桡骨干骺端骨折(盖氏骨折)或桡骨头骨折(埃塞克斯-洛普雷斯蒂损伤)合并发生。尺骨远端骨折可单独发生,或与桡骨远端骨折合并发生。这两种损伤类型均与高能量损伤有关。治疗结果取决于解剖复位和DRUJ稳定性的恢复。