桡骨远端关节内骨折的断层扫描分类方案
PROPOSAL TOMOGRAPHIC CLASSIFICATION FOR INTRA-ARTICULAR DISTAL RADIUS FRACTURES.
作者信息
Nascimento Valdênia DAS Graças, Costa Antonio Carlos DA, Silva Leandro Rodrigues DA, Falcocchio Diego Figueira, Chakkour Ivan, Checchia Sergio Luiz
机构信息
. Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil.
. Department of Orthopedics, Hand Surgery Group, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.
出版信息
Acta Ortop Bras. 2018 Jan-Feb;26(1):54-58. doi: 10.1590/1413-785220182601179613.
OBJECTIVE
The objective of this study was to present a proposal tomographic classification for intra-articular distal radius fractures.
METHODS
This descriptive study was based on observing tomographic images from 74 patients with distal radius fractures. The cases were grouped by similarity according to the presence of several parameters which determine fracture complexity; the results of the descriptive analysis were transcribed as tomographic classification.
RESULTS
The proposal tomographic classification for intra-articular distal radius fractures comprised three major groups and nine sub-groups, which are organized by increasing severity according to the presence of spacing between articular fragments, angulation, loss of radial height, cortical depression, and associated dislocation.
CONCLUSION
This proposal tomographic classification for intra-articular distal radius fractures can help professionals indicate therapeutic options. Level of Evidence IV; Case series.
目的
本研究的目的是提出一种用于桡骨远端关节内骨折的断层扫描分类方法。
方法
本描述性研究基于对74例桡骨远端骨折患者的断层扫描图像进行观察。根据决定骨折复杂性的几个参数的存在情况，将病例按相似性分组；描述性分析的结果被转录为断层扫描分类。
结果
桡骨远端关节内骨折的断层扫描分类方法包括三个主要组和九个亚组，根据关节碎片之间的间距、成角、桡骨高度丢失、皮质凹陷和相关脱位的存在情况，按严重程度递增进行组织。
结论
这种用于桡骨远端关节内骨折的断层扫描分类方法可以帮助专业人员指明治疗选择。证据级别IV；病例系列。
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