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青少年尺桡骨干骨折的挑战与治疗选择:病例系列与叙述性综述

Navigating Challenges and Treatment Options in Diaphyseal Forearm Fractures Among Adolescents: Case Series and Narrative Review.

作者信息

Yoshiyama Takaki

机构信息

Orthopaedics, Osaka Red Cross Hospital, Osaka, JPN.

出版信息

Cureus. 2023 Jun 19;15(6):e40669. doi: 10.7759/cureus.40669. eCollection 2023 Jun.

DOI:10.7759/cureus.40669
PMID:37485145
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10356996/
Abstract

In this paper, we recount the medical trajectories of two male patients, both fourteen years of age, who sustained re-fractures of their radius and ulna six months post their primary diaphyseal fractures. Owing to the limited capacity for growth of the forearm bones between the ages of ten to sixteen years, many queries are engendered concerning apt treatment strategies. The pressing questions are whether these should be conservative or surgical and the precise method to be employed in surgical interventions. This discourse endeavors to demarcate preferred therapeutic options and shed light on a series of standard clinical dilemmas physicians encounter, along with an exhaustive scrutiny of existing literature.

摘要

在本文中,我们讲述了两名14岁男性患者的医疗轨迹,他们在初次骨干骨折六个月后,桡骨和尺骨再次骨折。由于10至16岁之间前臂骨骼的生长能力有限,因此引发了许多关于合适治疗策略的问题。紧迫的问题是这些治疗应该是保守的还是手术的,以及手术干预中应采用的精确方法。本文试图划定首选的治疗方案,阐明医生遇到的一系列标准临床困境,并对现有文献进行详尽的审视。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d08/10356996/f3b66357c392/cureus-0015-00000040669-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d08/10356996/e1469314061a/cureus-0015-00000040669-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d08/10356996/81c03bbbca2b/cureus-0015-00000040669-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d08/10356996/f3b66357c392/cureus-0015-00000040669-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d08/10356996/e1469314061a/cureus-0015-00000040669-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d08/10356996/81c03bbbca2b/cureus-0015-00000040669-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d08/10356996/f3b66357c392/cureus-0015-00000040669-i03.jpg

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本文引用的文献

1
Recovery of Forearm Bone Strength After Plate Removal: A Finite Element Analysis Study.钢板取出后前臂骨强度的恢复:一项有限元分析研究
J Hand Surg Am. 2024 Jun;49(6):608.e1-608.e8. doi: 10.1016/j.jhsa.2022.07.017. Epub 2022 Sep 16.
2
Long-term Evaluation Using Finite Element Analysis of Bone Atrophy Changes after Locking Plate Fixation of Forearm Diaphyseal Fracture.使用有限元分析对前臂骨干骨折锁定钢板固定后骨萎缩变化进行长期评估
J Hand Surg Glob Online. 2021 Jun 14;3(5):240-244. doi: 10.1016/j.jhsg.2021.05.013. eCollection 2021 Sep.
3
Effect of childhood overweight on distal metaphyseal radius fractures treated by closed reduction.
儿童超重对经闭合复位治疗的干骺端骨折的影响。
J Orthop Surg Res. 2021 Mar 10;16(1):182. doi: 10.1186/s13018-021-02336-2.
4
Management of pediatric forearm fractures: what is the best therapeutic choice? A narrative review of the literature.小儿前臂骨折的治疗:最佳治疗选择是什么?文献综述的叙述性评价。
Musculoskelet Surg. 2021 Dec;105(3):225-234. doi: 10.1007/s12306-020-00684-6. Epub 2020 Oct 14.
5
Hybrid fixation for adolescent both-bones diaphyseal forearm fractures: Preliminary results of a prospective cohort study.青少年双骨干前臂骨折的混合固定:一项前瞻性队列研究的初步结果
J Clin Orthop Trauma. 2020 Feb;11(Suppl 1):S46-S50. doi: 10.1016/j.jcot.2019.05.005. Epub 2019 May 9.
6
A comparison of fixation methods in adolescent patients with diaphyseal forearm fractures.青少年尺桡骨干骨折患者固定方法的比较
Injury. 2018 Nov;49(11):2053-2057. doi: 10.1016/j.injury.2018.08.023. Epub 2018 Aug 30.
7
Comparison of three surgical fixation methods for dual-bone forearm fractures in older children: A retrospective cohort study.三种手术固定方法治疗大龄儿童双前臂骨折的比较:一项回顾性队列研究。
Int J Surg. 2018 Mar;51:10-16. doi: 10.1016/j.ijsu.2018.01.005. Epub 2018 Feb 2.
8
Prevention of re-fractures of both bones of the forearm in children.儿童前臂双骨折再骨折的预防
Acta Orthop Belg. 2016 Dec;82(4):872-875.
9
Obesity Increases Risk of Loss of Reduction After Casting for Diaphyseal Fractures of the Radius and Ulna in Children: An Observational Cohort Study.肥胖增加儿童桡骨和尺骨干骨折石膏固定后复位丢失风险:一项观察性队列研究
J Orthop Trauma. 2018 Feb;32(2):e46-e51. doi: 10.1097/BOT.0000000000001010.
10
Evaluation of Bone Atrophy After Treatment of Forearm Fracture Using Nonlinear Finite Element Analysis: A Comparative Study of Locking Plates and Conventional Plates.使用非线性有限元分析评估前臂骨折治疗后骨萎缩:锁定钢板与传统钢板的比较研究
J Hand Surg Am. 2017 Aug;42(8):659.e1-659.e9. doi: 10.1016/j.jhsa.2017.03.041. Epub 2017 May 26.