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肱骨前线在儿童肱骨髁上骨折手术治疗中成功实现解剖复位的重要性。

Importance of anterior humeral line for successful anatomical reduction in the surgical treatment of pediatric supracondylar humeral fractures.

作者信息

Shimizu Takamasa, Yoshida Atsushi, Omokawa Shohei, Onishi Tadanobu, Kira Tsutomu, Santo Shigeru, Hasewgawa Hideo, Kawamura Kenji, Tanaka Yasuhito

机构信息

Department of Orthopedic Surgery, Nara Medical University, Nara, Japan.

Department of Orthopedic Surgery, Osaka Gyoumeikan Hospital, Osaka, Japan.

出版信息

J Orthop. 2017 Jun 23;14(3):358-362. doi: 10.1016/j.jor.2017.06.002. eCollection 2017 Sep.

DOI:10.1016/j.jor.2017.06.002
PMID:28706380
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5496457/
Abstract

Anterior humeral line (AHL) and tilting angle (TA) are used for the assessment of pediatric elbow sagittal plane alignment in surgical treatment of pediatric supracondylar humeral fracture. However, few studies exist that compare the reliabilities between these parameters. The purpose of this study is to determine whether measurements of radiographic parameters are reliable and useful for achieving anatomical reduction. In the current study, we demonstrated that the identifying the AHL location involves a simple and reliable measurement compared with TA. The intraoperative AHL identification is a good indicator for achieving anatomical reduction.

摘要

肱骨前线(AHL)和倾斜角(TA)用于小儿肱骨髁上骨折手术治疗中评估小儿肘部矢状面的对线情况。然而,比较这些参数可靠性的研究较少。本研究的目的是确定影像学参数测量对于实现解剖复位是否可靠且有用。在本研究中,我们证明与TA相比,确定AHL位置涉及一种简单且可靠的测量方法。术中识别AHL是实现解剖复位的良好指标。

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本文引用的文献

1
The posterior intrafocal pin improves sagittal alignment in Gartland type III paediatric supracondylar humeral fractures.后焦点内针可改善儿童Gartland III型肱骨髁上骨折的矢状位对线。
Injury. 2016 Apr;47(4):842-7. doi: 10.1016/j.injury.2015.12.031. Epub 2015 Dec 31.
2
Variability of the Anterior Humeral Line in Normal Pediatric Elbows.正常小儿肘部肱骨前线的变异性
J Pediatr Orthop. 2016 Mar;36(2):e14-6. doi: 10.1097/BPO.0000000000000529.
3
Supracondylar fractures of the humerus in children.儿童肱骨髁上骨折
Orthopedics. 1980 May 1;3(5):395-406. doi: 10.3928/0147-7447-19800501-04.
4
Natural history of unreduced Gartland type-II supracondylar fractures of the humerus in children: a two to thirteen-year follow-up study.儿童未复位 Gartland Ⅱ型肱骨髁上骨折的自然病程:一项 2 至 13 年的随访研究。
J Bone Joint Surg Am. 2013 Jan 2;95(1):28-34. doi: 10.2106/jbjs.l.00132.
5
The lateral capitellohumeral angle in normal children: mean, variation, and reliability in comparison to Baumann's angle.正常儿童的肱桡外侧角:与鲍曼角相比的均值、变异及可靠性
J Pediatr Orthop. 2011 Apr-May;31(3):266-71. doi: 10.1097/BPO.0b013e31821009af.
6
Three-dimensional analysis of cubitus varus deformity after supracondylar fractures of the humerus.肱骨髁上骨折后肘内翻畸形的三维分析。
J Shoulder Elbow Surg. 2011 Apr;20(3):440-8. doi: 10.1016/j.jse.2010.11.020.
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