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一种提供充分暴露冠突的内侧入路用于骨折管理。

A Medial Approach That Provides Ample Exposure of the Coronoid for Fracture Management.

机构信息

Miami Bone and Joint Institute.

Miami Orthopaedic Research Foundation, Miami, FL.

出版信息

Tech Hand Up Extrem Surg. 2023 Dec 1;27(4):214-219. doi: 10.1097/BTH.0000000000000444.

DOI:10.1097/BTH.0000000000000444
PMID:37439145
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10651265/
Abstract

We describe a medial approach to the coronoid where the flexor-pronator mass is released from its humeral origin by creating a proximally based tendinous flap. This technique facilitates access to the coronoid, preservation of the medial collateral ligament origin, and repair of the flexor-pronator mass. This approach has utility for all coronoid fracture variations but especially the O'Driscoll anteromedial subtype 3, which includes fractures of the sublime tubercle, the anteromedial facet, and the coronoid tip.

摘要

我们描述了一种通过近端腱膜瓣从肱骨头起点处游离旋前屈肌肌腹来显露冠状突的入路。该技术可充分显露冠状突，保留内侧副韧带起点，并修复旋前屈肌肌腹。该入路适用于各种冠状突骨折类型，但对于 O'Driscoll 前内侧 3 型骨折，包括了尺骨嵴、前内侧关节面和冠状突尖端骨折尤其有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ac/10651265/f78c8af70e1a/bth-27-214-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ac/10651265/dd6cb4be82e4/bth-27-214-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ac/10651265/1441cf6c8f19/bth-27-214-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ac/10651265/2bbc10c0d673/bth-27-214-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ac/10651265/34b43ab927da/bth-27-214-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ac/10651265/4f420dea2f0b/bth-27-214-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ac/10651265/3190f345f45f/bth-27-214-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ac/10651265/f78c8af70e1a/bth-27-214-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ac/10651265/dd6cb4be82e4/bth-27-214-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ac/10651265/1441cf6c8f19/bth-27-214-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ac/10651265/2bbc10c0d673/bth-27-214-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ac/10651265/34b43ab927da/bth-27-214-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ac/10651265/4f420dea2f0b/bth-27-214-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ac/10651265/3190f345f45f/bth-27-214-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ac/10651265/f78c8af70e1a/bth-27-214-g007.jpg

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Medial elbow exposure: an anatomic comparison of 5 approaches.肘内侧入路的显露：5 种入路方式的解剖比较
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