Moneim M S, Garst J R
Department of Orthopaedics and Rehabilitation, University of New Mexico School of Medicine, Albuquerque, USA.
Int Angiol. 1995 Sep;14(3):307-12.
The association between elbow fractures and dislocations and vascular injury was reviewed at our institution over a ten year period from 1983 to 1993. A total of fifty-six cases of acute elbow fracture or dislocation which required operative treatment were reviewed and of these two had a concomitant vascular injury. In both these cases diagnostic imaging studies confirmed the clinical diagnosis and arterial reconstruction was done. These cases are reviewed along with the arterial anatomy about the elbow which allows for significant collateral circulation. The general principles of fracture or dislocation reduction followed by vascular reassessment and arterial reconstruction if needed are reviewed.
1983年至1993年的十年间，我们机构对肘部骨折与脱位和血管损伤之间的关联进行了回顾性研究。总共回顾了56例需要手术治疗的急性肘部骨折或脱位病例，其中两例伴有血管损伤。在这两例病例中，诊断性影像学检查证实了临床诊断并进行了动脉重建。这些病例与肘部的动脉解剖结构一起进行了回顾，肘部存在显著的侧支循环。文中还回顾了骨折或脱位复位的一般原则，以及必要时进行血管重新评估和动脉重建的相关内容。
