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儿童肱骨髁上移位骨折的屈曲位手法复位

Reduction of displaced supracondylar fracture of the humerus in children by manipulation in flexion.

作者信息

Eid A M

出版信息

Acta Orthop Scand. 1978 Feb;49(1):39-45. doi: 10.3109/17453677809005721.

DOI:10.3109/17453677809005721
PMID:654894
Abstract

Sixty-one children with posteriourly displaced supracondylar fractures of the humerus were treated by minipulation with the elbow flexed 40 degrees-60 degrees. This method proved to be safe, easy to apply and was followed by a high rate of success. The elbow was immobilized using a collar-and-cuff or a broad sling and binding of the arm to the forearm with zinc oxide adhesive plaster. In difficult children, the limb was put under the child's clothing to avoid its being used. Redisplacement occurred in only 8.2 per cent of the patients and in none of these was it severe enough to justify remanipulation.

摘要

61例肱骨髁上骨折向后移位的儿童采用肘关节屈曲40度至60度的手法复位治疗。该方法被证明是安全、易于应用的,且成功率很高。使用颈腕带或宽吊带固定肘部,并使用氧化锌橡皮膏将手臂与前臂绑扎在一起。对于不配合的儿童,将肢体置于患儿衣服内以避免其乱动。仅8.2%的患者发生再移位,且均未严重到需要再次手法复位的程度。

需要注意的是,原文中“posteriourly”拼写错误,正确的是“posteriorly” 。

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Results of treatment of displaced supracondylar humeral fractures in children by percutaneous lateral cross-wiring technique.经皮外侧交叉穿针技术治疗儿童肱骨髁上移位骨折的结果
Strategies Trauma Limb Reconstr. 2008 Apr;3(1):1-7. doi: 10.1007/s11751-008-0030-3. Epub 2008 Feb 22.
2
[Supracondylar humerus fracture in childhood, its treatment and results following Blount's method].[儿童肱骨髁上骨折,采用布朗特方法的治疗及结果]
Unfallchirurgie. 1985 Aug;11(4):192-6. doi: 10.1007/BF02587959.
3
[The supracondylar fracture of the humerus in children (author's transl)].
儿童肱骨髁上骨折(作者译)
Arch Orthop Trauma Surg (1978). 1979 Oct;95(1-2):123-40. doi: 10.1007/BF00379179.