尺骨茎突不愈合对桡骨远端骨折后疼痛、腕关节功能及稳定性的影响
The Influence of Non-union of the Ulnar Styloid on Pain, Wrist Function and Instability after Distal Radius Fracture.
作者信息
Wijffels Mathieu, Ring David
出版信息
J Hand Microsurg. 2011 Jun;3(1):11-4. doi: 10.1007/s12593-011-0033-z. Epub 2011 Feb 16.
Abstract
The influence of non-union on the outcome of distal radius fractures is debated. We tested the null hypothesis that there is no difference in pain, wrist function, or instability between patients with union or non-union of an ulnar styloid base fracture after operative treatment of a fracture of the distal radius. Eighteen adults with an ulnar styloid base non-union were compared to 16 patients with union of an ulnar styloid base fracture with a mean post-operative follow-up of 30 months. None of the patients had distal radioulnar joint instability, there were no significant differences in pain, complications, or function, and patients with nonunion had significantly greater grip strength. Ulnar styloid nonunion is not associated with pain, instability, or diminished function after fracture of the distal radius.
摘要
骨不连对桡骨远端骨折预后的影响存在争议。我们检验了以下零假设：在桡骨远端骨折手术治疗后，尺骨茎突基底骨折愈合或不愈合的患者在疼痛、腕关节功能或不稳定性方面没有差异。将18例尺骨茎突基底骨不连的成年人与16例尺骨茎突基底骨折愈合的患者进行比较，术后平均随访30个月。所有患者均无下尺桡关节不稳定，疼痛、并发症或功能方面无显著差异，骨不连患者的握力明显更大。尺骨茎突骨不连与桡骨远端骨折后的疼痛、不稳定或功能减退无关。
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