Ecke H
Langenbecks Arch Chir. 1976 Nov 15;342:277-81. doi: 10.1007/BF01267381.
The diagnostic procedure followed in cases of childhood fractures consists of positive identification of the fracture type (greenstick, complete, or open fracture) and also determination of the degree and age-specific tolerance limit of axis deviations. This diagnostic procedure also includes decisions concerning indications for operative or conservative therapy, and lays great emphasis on the identification of epiphysial injuries. If function is to be fully restored, the extent of injuries must be rapidly determined. Long-term injuries are identified at follow-up examinations and can then be corrected surgically.
儿童骨折病例的诊断程序包括明确骨折类型(青枝骨折、完全骨折或开放性骨折),以及确定轴线偏差的程度和特定年龄的耐受限度。该诊断程序还包括有关手术或保守治疗指征的决策,并高度重视骨骺损伤的识别。若要完全恢复功能,必须迅速确定损伤程度。长期损伤在随访检查中得以识别,随后可通过手术进行矫正。