Colles骨折合并尺骨向背侧脱位下尺桡关节损伤的临床观察  

Distal radioulnar joint injuries associated with Colles fracture

作　　者：张权[1] 危杰[1] 廖晓凡[2] 王满宜[1] 

机构地区：[1]北京积水潭医院创伤骨科,100035 [2]黑龙江省鸡西矿业集团总医院骨科

出　　处：《中华外科杂志》2006年第8期541-543,共3页Chinese Journal of Surgery

摘　　要：目的探讨Colles骨折合并尺骨向背侧脱位下尺桡关节损伤的诊治方法。方法2004年7月至11月,对20例合并尺骨向背侧脱位的下尺桡关节损伤的新鲜Colles骨折患者行旋后位前臂U型石膏固定,治疗4～6周。采用Gartland和Werley评分系统进行疗效评定。结果全部患者均获得随访,随访时间6～10个月,平均9个月。20例患者骨折全部愈合,无一例复发脱位。Gartlang和Werley评分系统优17例,良3例,优良率100%。评分为良的3例患者中,偶有疼痛,但功能无受限1例,前臂旋转轻度受限1例,腕关节桡偏畸形1例。结论旋后位前臂U型石膏是治疗合并尺骨向背侧脱位的下尺桡关节损伤Colles骨折的有效方法。常规的前臂旋前位,腕关节掌屈尺偏位石膏固定有加重下尺桡关节脱位的作用,不宜应用。Objective To study the diagnosis and treatment of Colles fracture with dorsally dislocated ulna. Methods From July 2004 to November 2004,20 cases of Colles fracture with dorsally dislocated ulna treated with supinational cast were evaluated. Results Fractures were healed in all cases, and no recurrent dislocation was found in duration of 6-10 months follow up. Evaluation with Gartland and Werley score system showed that 100% of patient restored excellent function of wrist and forearm. Condusions Supinational cast is an effective option for the acute cases. Well understanding of this injury and early diagnosis are critical.

关 键 词：COLLES骨折 尺骨骨折 脱位 骨折固定术 

分 类 号：R683.4[医药卫生—骨科学]