Schwarz N
Handchir Mikrochir Plast Chir. 1986 Sep;18(5):319-22.
The aim of this study was to evaluate the influence of primary displacement of fragments of the radial head on the clinical result after conservative therapy, also to see whether the extent of displacement could give valuable indications for operation. In non-displaced fractures the results are slightly but significantly better than in displaced fractures. On the other hand, the amount of displacement must be considered to be of minor importance. In 64 percent of conservatively treated patients the results were good despite displacement and the results were similar after primary open reduction. It has to be assumed that undiagnosed lesions of the joint capsule and ligaments are the most important cause of residual functional deficits.
本研究的目的是评估桡骨头骨折块的初始移位对保守治疗后临床结果的影响，同时观察移位程度是否能为手术提供有价值的指征。在无移位骨折中，结果略优于移位骨折，但差异有统计学意义。另一方面，移位量被认为重要性较低。在64%的保守治疗患者中，尽管存在移位，结果仍良好，一期切开复位后的结果相似。必须假定关节囊和韧带的未被诊断出的损伤是残留功能缺陷的最重要原因。
