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肘骨折脱位:治疗策略的确定。

Elbow Fracture-Dislocations: Determining Treatment Strategies.

机构信息

Orthopaedic Surgery, UPMC, Pittsburgh, PA, USA.

Orthopaedic Surgery, UPMC, Pittsburgh, PA, USA.

出版信息

Hand Clin. 2020 Nov;36(4):495-510. doi: 10.1016/j.hcl.2020.07.011.

Abstract

Elbow dislocations represent common injuries. A quarter of these injuries involve at least 1 fracture. The sequel of elbow fracture-dislocations can be fraught with complications, including recurrent instability, posttraumatic arthritis, elbow contracture, and poor functional results. The 3 main patterns of injury are valgus posterolateral rotatory instability, varus posteromedial rotatory instability, and transolecranon fracture-dislocation. This article discusses each pattern individually, including the anatomy, the typical injury pattern, and treatment strategies. It also discusses common complications that can occur.

摘要

肘关节脱位较为常见,其中四分之一的损伤至少合并 1 处骨折。肘关节骨折脱位的后果可能伴有多种并发症,包括复发性不稳定、创伤性关节炎、肘挛缩和功能结果不良。损伤的 3 种主要类型为:外翻后外侧旋转不稳定、内翻后内侧旋转不稳定和经鹰嘴骨折脱位。本文分别讨论了每种类型,包括解剖结构、典型损伤模式和治疗策略,还讨论了可能出现的常见并发症。

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