肱骨干骨折伴桡神经损伤：一项回顾性研究。
Radial nerve injury associated with humeral shaft fracture: a retrospective study.
作者信息
Ricci Flávia Pessoni Faleiros Macêdo, Barbosa Rafael Inácio, Elui Valéria Meirelles Carril, Barbieri Cláudio Henrique, Mazzer Nilton, Fonseca Marisa de Cássia Registro
机构信息
Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brasil, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, Ribeirão Preto, SP, Brasil.
出版信息
Acta Ortop Bras. 2015 Jan-Feb;23(1):19-21. doi: 10.1590/1413-78522015230100823.
OBJECTIVE
To determine the profile of patients with humeral diaphyseal fractures in a tertiary hospital.
METHODS
We conducted a survey from January 2010 to July 2012, including data from patients classified under humeral diaphyseal fracture (S42.3) according to the International Classification of Diseases (ICD-10). The variables analyzed were: age, gender, presence of radial nerve injury, causal agent and the type of treatment carried out.
RESULTS
The main causes of trauma were car accidents. The radial nerve lesion was present in some cases and was caused by the same trauma that caused the fracture or iatrogenic injury. Most of these fractures occurred in the middle third of humeral diaphysis and was treated conservatively.
CONCLUSION
The profile of patients with fracture of humeral shaft, in this specific sample, was composed mainly of adult men involved in traffic accidents; the associated radial nerve lesion was present in most of these fractures and its cause was strongly related to the trauma mechanism. Level of Evidence II, Retrospective Study.
目的
确定一家三级医院肱骨干骨折患者的概况。
方法
我们于2010年1月至2012年7月进行了一项调查，纳入了根据国际疾病分类（ICD-10）归类为肱骨干骨折（S42.3）的患者数据。分析的变量包括：年龄、性别、桡神经损伤情况、致伤因素以及所采取的治疗类型。
结果
创伤的主要原因是车祸。部分病例存在桡神经损伤，其由导致骨折的同一创伤或医源性损伤引起。这些骨折大多发生在肱骨干的中1/3段，且采用保守治疗。
结论
在这个特定样本中，肱骨干骨折患者的概况主要由卷入交通事故的成年男性构成；这些骨折大多伴有桡神经损伤，其原因与创伤机制密切相关。证据等级II，回顾性研究。
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