军事训练伤致腕部尺骨撞击综合征的非手术治疗  

Expectant Treatments of Ulnar Impaction Syndrome Induced by Wrist Trauma because of Military Training

作　　者：宋海涛[1] 田万成[1] 卢全中[1] 韩敦鑫[1] 柳连成[1] 冯淑梅[1] 

机构地区：[1]解放军第107医院骨科,山东烟台264002

出　　处：《临床军医杂志》2007年第4期540-542,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨军事训练伤致尺骨撞击综合征的非手术治疗方法及效果。方法2001年12月—2005年12月,对因训练伤后确诊为腕部尺骨撞击综合征的43例患者给予腕部外固定、关节内注射、局部理疗及口服非甾体类抗炎药物治疗。结果非手术治疗后,19例(44.2%)患者腕部、手部症状出现显著改善,患者恢复伤前工作及训练;13例(30.2%)症状改善,但不能恢复原有工作及训练,仍有11例(25.6%)腕部症状无改善,总有效率为74.4%。结论对训练伤导致尺骨撞击综合征非手术治疗有效,早期诊断、早期治疗是保证疗效的关键。Objective To explore the methods of expectant treatments to ulnar impaction syndrome caused by wrist trauma because of military training and their effects Methods From December 2001 to December 2005, a group of patients, who complained oi pain in ulnar wrist after being injured at wrist during military training, were checked according to the diagnosis criterion, especially according to wrist MRI, and 43 ones were diagnosed as ulnar impaction syndrome. The 43 ones received expectant treatments including external fixation of wrist, intra-articular injection of anti-irdlammatory agents into ulnar carpal joint combined with physical therapy of carpal joint and oral non-steroid anti-inflammatory drug. Results Out of the 43 patients with ulnar impaction syndrome, 19 （44.2%） had such notable improvements in the symptoms of hands and wrists that they went back to their former work and training afterwards, 13 （30.2%） had improvements to some extent but were not able to go back to their former work positions, and the other 11 （25.5 % ） had no amendment. The total effective rate was about 74.4%. Conclusion Expectant treatments of ulnar impaction syndrome were effective. Early diagnosis and treatment were the keys to the relief from the symptoms.

关 键 词：尺骨 撞击 综合征 非手术治疗 

分 类 号：R681.7[医药卫生—骨科学]