Curtis R J, Corley F G
Clin Sports Med. 1986 Oct;5(4):663-80.
Fractures and fracture dislocations of the forearm are common injuries that are being seen more frequently today in our active population. These injuries can occur in any sport, by direct blows to the arm or by falls on the outstretched hand. Many of these injuries are dramatic in their presentation and easily diagnosed, but only careful physical examination and radiographic evaluation avoids the pitfalls in diagnosis associated with the Monteggia's, Galeazzi's, and Essex-Lopresti's fracture dislocations. Most of these injuries require anatomic reduction to preserve the delicate interaction between radius and ulna in allowing forearm rotation. Owing to the instability of these fractures, open reduction and internal fixation is often required. Attention to detail in treatment and rehabilitation will avoid the problems of loss of motion, malunion, and nonunion associated with these injuries in the past.
前臂骨折及骨折脱位是常见损伤，如今在活跃人群中更为频繁地出现。这些损伤可发生于任何运动中，通过手臂受到直接打击或伸手撑地摔倒所致。许多此类损伤表现明显，易于诊断，但只有仔细的体格检查和影像学评估才能避免与孟氏骨折、盖氏骨折及埃塞克斯-洛普雷斯蒂骨折脱位相关的诊断陷阱。这些损伤大多需要解剖复位，以维持桡骨和尺骨之间在允许前臂旋转方面的微妙相互作用。由于这些骨折的不稳定性，通常需要切开复位内固定。治疗和康复过程中注重细节将避免过去与这些损伤相关的活动丧失、畸形愈合和不愈合问题。
