成人尺骨近端骨折：诊断与治疗综述
Proximal ulna fractures in adults: A review of diagnosis and management.
作者信息
Masood Qazi Manaan, Qulaghassi Mahdi, Grewal Urpinder, Bawale Rajesh, Kammela Madhavi, Singh Bijayendra
机构信息
Medway NHS Foundation Trust, Windmill Road, Gillingham, ME7 5, NY, UK.
Frimley Park Hospital NHS Foundation Trust, Portsmouth Rd, Frimley, GU16 7UJ, UK.
出版信息
J Clin Orthop Trauma. 2021 Jun 20;20:101481. doi: 10.1016/j.jcot.2021.101481. eCollection 2021 Sep.
Abstract
Proximal ulna fractures are relatively common upper limb injuries, which may represent fragility fractures or result from high-energy trauma. These include fractures of the olecranon, coronoid and associated radial head dislocations. A wide variety of treatment options are available for the management of these injuries that makes the selection of most appropriate treatment difficult. We aim to provide a brief overview of the treatment options for such injuries.
摘要
尺骨近端骨折是相对常见的上肢损伤，可能是脆性骨折或由高能创伤导致。这些损伤包括鹰嘴骨折、冠状突骨折以及相关的桡骨头脱位。对于这些损伤的治疗有多种选择，这使得选择最合适的治疗方法变得困难。我们旨在简要概述此类损伤的治疗选择。
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Geriatr Orthop Surg Rehabil. 2021 Feb 24;12:2151459321996626. doi: 10.1177/2151459321996626. eCollection 2021.
2
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J Shoulder Elbow Surg. 2021 Aug;30(8):1750-1758. doi: 10.1016/j.jse.2021.01.035. Epub 2021 Mar 3.
3
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J Shoulder Elbow Surg. 2021 Aug;30(8):1774-1779. doi: 10.1016/j.jse.2020.12.008. Epub 2021 Jan 30.
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Comparison of arthroscopy-assisted vs. open reduction and fixation of coronoid fractures of the ulna.关节镜辅助与切开复位内固定治疗尺骨冠状突骨折的比较。
J Shoulder Elbow Surg. 2021 Mar;30(3):469-478. doi: 10.1016/j.jse.2020.06.037. Epub 2020 Aug 1.
5
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