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桡骨远端骨骺骨折的分类（不包括Salter-Harris系统中的分类）。

Classification of distal radius physeal fractures not included in the salter-harris system.

作者信息

Sferopoulos Nikolaos K

机构信息

Department of Pediatric Orthopaedics, Aristotle University of Thessaloniki, "G. Gennimatas" Hospital, 54635 Thessaloniki, Greece.

出版信息

Open Orthop J. 2014 Jul 11;8:219-24. doi: 10.2174/1874325001408010219. eCollection 2014.

DOI:10.2174/1874325001408010219
PMID:25132871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4133925/
Abstract

INTRODUCTION

The most commonly used classification for pediatric physeal fractures has been proposed by Salter and Harris. Among the most suitable classification schemes are those proposed by Ogden and Peterson who added several new types of injuries. The purpose of this study was to examine the value of both schemes to classify all different types of physeal injuries of the distal radius that are not included in the Salter-Harris system and to test a new nomenclature to classify and guide treatment for the whole spectrum of these injuries.

METHODS

A total of 292 children who were admitted for a physeal fracture of the distal radius that could not be classified according to the Salter-Harris system were identified from the hospital database. All radiographs were carefully examined and classified according to the existing classifications of Ogden and Peterson and a modified classification scheme. The results of the treatment were also evaluated.

RESULTS

Ninety-six physeal injuries could not be classified using the classification schemes of Ogden and Peterson. All injuries could be classified in five types using the new, modified nomenclature. Growth abnormalities of the distal radius were evaluated after an average follow-up time of 11 years. Growth arrest due to a physeal bar was detected only in one patient.

DISCUSSION

The proposed modified scheme is practical, incorporates all previous classification systems, allows classification of all physeal injuries of the distal radius that are not included in the Salter-Harris system and may assist comparison of treatment outcomes.

摘要

引言

小儿骨骺骨折最常用的分类方法是由索尔特（Salter）和哈里斯（Harris）提出的。奥格登（Ogden）和彼得森（Peterson）提出的分类方案是最合适的方案之一，他们增加了几种新的损伤类型。本研究的目的是检验这两种方案对桡骨远端所有不同类型骨骺损伤进行分类的价值，这些损伤未包含在索尔特-哈里斯系统中，并测试一种新的命名法，以对这些损伤的全谱进行分类并指导治疗。

方法

从医院数据库中识别出292名因桡骨远端骨骺骨折入院且无法根据索尔特-哈里斯系统分类的儿童。所有X线片均根据奥格登和彼得森的现有分类以及一种改良分类方案进行仔细检查和分类。还对治疗结果进行了评估。

结果

96例骨骺损伤无法用奥格登和彼得森的分类方案进行分类。使用新的改良命名法，所有损伤可分为五种类型。在平均随访11年后对桡骨远端的生长异常情况进行了评估。仅在1例患者中检测到因骨骺骨桥导致的生长停滞。

讨论

所提出的改良方案实用，纳入了所有先前的分类系统，能够对未包含在索尔特-哈里斯系统中的桡骨远端所有骨骺损伤进行分类，并可能有助于比较治疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac3d/4133925/78b662ce67f3/TOORTHJ-8-219_F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac3d/4133925/f4f7327169f9/TOORTHJ-8-219_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac3d/4133925/a47c21f0f82c/TOORTHJ-8-219_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac3d/4133925/187e50106e30/TOORTHJ-8-219_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac3d/4133925/ca5645c7be55/TOORTHJ-8-219_F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac3d/4133925/4af9fa5a4c1a/TOORTHJ-8-219_F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac3d/4133925/78b662ce67f3/TOORTHJ-8-219_F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac3d/4133925/f4f7327169f9/TOORTHJ-8-219_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac3d/4133925/a47c21f0f82c/TOORTHJ-8-219_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac3d/4133925/187e50106e30/TOORTHJ-8-219_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac3d/4133925/ca5645c7be55/TOORTHJ-8-219_F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac3d/4133925/4af9fa5a4c1a/TOORTHJ-8-219_F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac3d/4133925/78b662ce67f3/TOORTHJ-8-219_F6.jpg

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