肘部骨折脱位:它们会影响桡骨头的骨折模式吗?

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Acta Ortopedica Brasileira Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243202e278639
Thiago Augusto da Silva, Alexandre Martins Malaquias, Marcio Alves Cruz, Fernando Kenji Kikuta, Guilherme Grisi Mouraria, Maurício Etchebehere
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引用次数: 0

摘要

导言:桡骨头骨折一直是肘部可怕三联症的一部分,可与Monteggia骨折-脱位、经蝶骨骨折及其变异同时发生。了解桡骨头骨折的粉碎程度和碎片的位置决定了应采取的治疗方案:材料与方法:一项回顾性研究(二级):对因桡骨头骨折伴有骨折脱位而接受手术的患者进行回顾性研究(II级)。患者均接受了前后位和侧位X光片以及断层扫描检查。桡骨头骨折碎片的数量和桡骨近端区域骨折的存在与骨折脱位的类型和人口统计学变量相关:结论:肘部骨折脱位类型无法预测桡骨头骨折碎片的数量和位置。结论:肘部骨折-脱位类型并不能预测骨折碎片的数量和桡骨头骨折的位置,但大多数伤者的桡骨头有三个或更多碎片,而且许多伤者的桡骨近端区域受累,这表明伤者受到了高能量创伤。证据等级II;回顾性研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
FRACTURE-DISLOCATIONS OF THE ELBOW: CAN THEY INFLUENCE THE PATTERN FRACTURE OF RADIAL HEAD?

Introduction: Radial head fractures are consistently part of a terrible triad of the elbow and can occur in association with Monteggia fracture-dislocations, transolecranon fractures, and their variations. Understanding the degree of comminution of the radial head fracture and the location of fragments determines the course of action to be taken.

Objectives: To correlate fracture-dislocations with the pattern of radial head fracture (number of fragments) and involvement in the proximal radioulnar region.

Materials and methods: A retrospective study (level II) of patients undergoing surgery for radial head fractures associated with fracture-dislocations. Patients had radiographs in anteroposterior and lateral views, as well as tomography. The number of radial head fracture fragments and the presence of fractures in the proximal radioulnar region were correlated with the type of fracture-dislocation and demographic variables.

Conclusion: Elbow fracture-dislocation types could not predict the number of fragments and the location of radial head fractures. However, most injuries presented three or more fragments in the radial head, and many had involvement of the proximal radioulnar region, suggesting high-energy trauma. Level of Evidence II; Retrospective Study.

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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
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