Obert Laurent, Loisel François, Gasse Nicolas, Lepage Daniel
Orthopaedic, Traumatology, Plastic & Hand Surgery Unit, University Hospital of Besançon 25000 Besançon France ; Intervention, Innovation, Imagery, Engineering in Health (EA 4268), Medical and Pharmacology Section, IFR 133, University of Franche-Comté 25000 Besançon France.
Orthopaedic, Traumatology, Plastic & Hand Surgery Unit, University Hospital of Besançon 25000 Besançon France.
SICOT J. 2015 Jun 19;1:14. doi: 10.1051/sicotj/2015012.
Few studies on the anatomy of the radial epiphysis have been published in the past 10 years. However, with the availability of new intra- and extra-medullary implants and the recent rash of avoidable iatrogenic injuries, now is the time for a more detailed description of the metaphyseal-epiphyseal regions in the distal radius. Published studies on distal radius anatomy in recent years have focused on three aspects: distal limit and watershed line, dorsal tubercle, and wrist columns. Furthermore, a fresh look at distal radius biomechanics shows that the loads experienced by the distal radius vary greatly. This information should be taken into account during volar plating of distal radius fractures.
在过去十年中,关于桡骨骨骺解剖学的研究发表得很少。然而,随着新型髓内和髓外植入物的出现以及近期一系列可避免的医源性损伤,现在是时候对桡骨远端的干骺端-骨骺区域进行更详细的描述了。近年来发表的关于桡骨远端解剖学的研究集中在三个方面:远端界限和分水岭线、背侧结节以及腕柱。此外,对桡骨远端生物力学的重新审视表明,桡骨远端承受的负荷差异很大。在桡骨远端骨折的掌侧钢板固定过程中应考虑到这些信息。