White Jennifer Snyder
Riverside Methodist Hospital, Columbus, OH 43214, USA.
Adv Emerg Nurs J. 2013 Jan-Mar;35(1):8-15. doi: 10.1097/TME.0b013e31827ef6e2.
Distal radius fractures represent 1 of every 6 fractures treated in emergency departments (EDs) each year. This injury has a peak incidence within both the 5- to 24-year-old age group and the elderly female population aged 65 years and older. An understanding of the functional anatomy of the wrist fracture will greatly aid the practitioner in proper treatment and referral for these injuries. After obtaining wrist radiographs, a thorough examination must be performed. Once anesthesia is achieved (via hematoma block, sedation, or Bier block), the first line of treatment of distal radius fractures is to reduce the fracture and stabilize the bone alignment, even if it is expected that the patient will require surgical intervention. Up to 50% of patients are at risk of losing reduction, and 20%-50% of distal radius fractures will eventually require surgical fixation. Referral to an orthopedist can be made during the ED visit or done on an outpatient status.
桡骨远端骨折占每年急诊科治疗的骨折病例的六分之一。这种损伤在5至24岁年龄组以及65岁及以上老年女性人群中发病率最高。了解腕部骨折的功能解剖结构将极大地帮助从业者对这些损伤进行正确的治疗和转诊。在获得腕部X线片后，必须进行全面检查。一旦实现麻醉（通过血肿阻滞、镇静或静脉 Bier 阻滞），桡骨远端骨折的一线治疗方法是复位骨折并稳定骨的对线，即使预计患者需要手术干预。高达50%的患者有复位丢失的风险，20%至50%的桡骨远端骨折最终需要手术固定。可在急诊科就诊期间或门诊状态下转诊至骨科医生处。
