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儿童腕部青枝骨折需要随访吗?青枝骨折的随访。

Do wrist buckle fractures in children need follow-up? Buckle fractures' follow-up.

作者信息

Riera-Álvarez Luis, Pons-Villanueva Juan

机构信息

Orthopedic Surgery and Traumatology Department, Clínica Universidad de Navarra, Pamplona, Spain.

出版信息

J Pediatr Orthop B. 2019 Nov;28(6):553-554. doi: 10.1097/BPB.0000000000000646.

Abstract

Buckle or torus fractures in the distal forearm are characterized by a bulging of the cortical bone. They are a frequent reason for consultation in pediatric emergencies. The treatment and follow-up of this type of fractures varies from soft immobilizations to a plaster cast. The purpose of this study is to assess the stability of buckle fractures of the distal radius. We reviewed 106 pediatric patients with buckle fractures and analyzed the radiographs at the time of initial consultation and at the last follow-up. None of these fractures displaced further, regardless of the treatment given. Buckle or torus fractures do not need follow-up radiographs. As they are stable, the simpler immobilization treatment is sufficient.

摘要

前臂远端的青枝骨折或骨皮质增厚骨折的特征是皮质骨膨隆。它们是儿科急诊中常见的就诊原因。这类骨折的治疗和随访方式从软性固定到石膏固定不等。本研究的目的是评估桡骨远端青枝骨折的稳定性。我们回顾了106例患有青枝骨折的儿科患者,并分析了初次就诊时和最后一次随访时的X光片。无论采用何种治疗方法,这些骨折均未进一步移位。青枝骨折或骨皮质增厚骨折无需进行随访X光检查。由于它们很稳定,采用更简单的固定治疗就足够了。

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