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当前肘“可怕三联征”损伤处理的理念。

Current concepts in the management of "Terrible Triad" injuries of the elbow.

机构信息

Department of Trauma and Orthopaedics, Musgrave Park Hospital, Stockmans Lane, Belfast, BT9 7JB, United Kingdom.

Department of Trauma and Orthopaedics, Musgrave Park Hospital, Stockmans Lane, Belfast, BT9 7JB, United Kingdom.

出版信息

Injury. 2023 Aug;54(8):110889. doi: 10.1016/j.injury.2023.110889. Epub 2023 Jun 15.

Abstract

Terrible triad injuries of the elbow are complex injuries which can result in long term complications and significant disability. They must be identified correctly, and managed appropriately in order to maximise functional outcomes. A clear understanding of the bony and ligamentous anatomy is essential to plan appropriate surgical reconstruction to provide elbow stability. Urgent reduction of the elbow, followed by 3-dimensional imaging and surgical repair or replacement of the injured structures is the mainstay of treatment in the majority of cases. This review presents a summary of the relevant anatomy and the evidence for the management of these complex injuries.

摘要

肘部三联征损伤是一种复杂的损伤,可能导致长期并发症和显著的残疾。为了最大限度地提高功能结果,必须正确识别并适当处理这些损伤。清晰了解骨骼和韧带解剖结构对于计划适当的手术重建以提供肘部稳定性至关重要。在大多数情况下,治疗的主要方法是紧急复位肘部,然后进行三维成像和手术修复或替换受伤结构。本文综述了相关解剖结构的总结以及这些复杂损伤的处理证据。

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