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[桡尺远侧关节孤立性脱位]

[Isolated dislocation in the distal radio-ulnar joint].

作者信息

Obiltschnig A, Klestil T

机构信息

Sanatorium Villach, Osterreich.

出版信息

Unfallchirurgie. 1990 Oct;16(5):225-9. doi: 10.1007/BF02589874.

DOI:10.1007/BF02589874
PMID:2260231
Abstract

Anatomy, injury-mechanism and classification will be illustrated with a casuistry of the rate isolated luxation of the ulnar head. Diagnosis is established clinically and with comparative X-rays. In our case the luxation was irresponsible in general anaesthesia and had to be succeeded by open reposition with temporary pin-fixation. Postoperatively a cast up to the upper arm is necessary for six weeks. With the removal of the plaster the wire pins also must be immediately withdrawn, as to evade complications like fatigue-breakage of the implanted material. With adherence to this therapeutic scheme operative treatment is not problematic and - by means of posttraumatic physical therapy - shows a good functional result.

摘要

将通过尺骨头单纯性脱位的病例分析来说明其解剖结构、损伤机制和分类。临床诊断及通过对比X线片进行确诊。在我们的病例中,该脱位在全身麻醉下复位失败,不得不通过切开复位并临时钢针固定来完成。术后需要用石膏固定上臂六周。拆除石膏时,必须立即拔出钢针,以避免植入材料出现疲劳断裂等并发症。遵循这一治疗方案,手术治疗并不困难,并且通过创伤后物理治疗,可获得良好的功能恢复效果。

相似文献

1
[Isolated dislocation in the distal radio-ulnar joint].[桡尺远侧关节孤立性脱位]
Unfallchirurgie. 1990 Oct;16(5):225-9. doi: 10.1007/BF02589874.
2
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本文引用的文献

1
LUXATION OF THE ULNA FORWARD AT THE WRIST (WITHOUT FRACTURE): WITH REPORT OF A CASE.尺骨在腕部向前脱位(无骨折):附病例报告
Ann Surg. 1912 Mar;55(3):368-74. doi: 10.1097/00000658-191203000-00003.
2
SO-CALLED DISLOCATION OF THE LOWER END OF THE ULNA.所谓尺骨下端脱位。
Ann Surg. 1942 Aug;116(2):282-92. doi: 10.1097/00000658-194208000-00014.
3
Anterior dislocation of the ulna at the inferior radio-ulnar joint. Case report, with a discussion of the anatomy of rotation of the forearm.尺骨在桡尺远侧关节处的前脱位。病例报告,并对前臂旋转的解剖结构进行讨论。
J Bone Joint Surg Br. 1960 Aug;42-B:515-21. doi: 10.1302/0301-620X.42B3.515.
4
[Isolated distal dislocation of the ulna].[尺骨远端孤立性脱位]
Chir Organi Mov. 1980 Jan-Feb;66(1):123-6.
5
[Isolated luxation of the proximal tibio-fibular joint as a rare sports injury].
Unfallchirurgie. 1983 Dec;9(6):349-53.
6
[Isolated traumatic luxation in the distal radio-ulnar joint].[桡尺远侧关节孤立性创伤性脱位]
Monatsschr Unfallheilkd Versicher Versorg Verkehrsmed. 1966 Dec;69(12):579-82.