肘关节骨折脱位的当前概念
Current concepts in elbow fracture dislocation.
作者信息
Watts Adam C, Singh Jagwant, Elvey Michael, Hamoodi Zaid
机构信息
Wrightington Hospital, Wigan, UK.
Upper limb unit, Wrightington Hospital, Wigan, UK.
出版信息
Shoulder Elbow. 2021 Aug;13(4):451-458. doi: 10.1177/1758573219884010. Epub 2019 Nov 13.
BACKGROUND
Elbow fracture dislocations are complex injuries that can provide a challenge for experienced surgeons. Current classifications fail to provide a comprehensive system that encompasses all of the elements and patterns seen in elbow fracture dislocations.
METHODS
The commonly used elbow fracture dislocation classifications are reviewed and the three-column concept of elbow fracture dislocation is described. This concept is applied to the currently recognised injury patterns and the literature on management algorithms.
RESULTS
Current elbow fracture dislocation classification systems only describe one element of the injury, or only include one pattern of elbow fracture dislocation. A new comprehensive classification system based on the three-column concept of elbow fracture dislocation is presented with a suggested algorithm for managing each injury pattern.
DISCUSSION
The three-column concept may improve understanding of injury patterns and treatment and leads to a comprehensive classification of elbow fracture dislocations with algorithms to guide treatment.
背景
肘关节骨折脱位是复杂的损伤，即使对于经验丰富的外科医生来说也是一项挑战。目前的分类方法未能提供一个全面的系统来涵盖肘关节骨折脱位中所见的所有要素和类型。
方法
回顾了常用的肘关节骨折脱位分类方法，并描述了肘关节骨折脱位的三柱概念。将这一概念应用于目前公认的损伤类型及有关治疗算法的文献。
结果
目前的肘关节骨折脱位分类系统仅描述了损伤的一个要素，或仅包括一种肘关节骨折脱位类型。本文提出了一种基于肘关节骨折脱位三柱概念的新的综合分类系统，并给出了针对每种损伤类型的建议治疗算法。
讨论
三柱概念可能会增进对损伤类型和治疗的理解，并促成对肘关节骨折脱位的全面分类以及指导治疗的算法。
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