儿童桡尺骨远端骨折背侧移位的损伤机制及治疗手法的探讨  

Pathogenetic mechanism of children's distal radioulnar fracture and dorsal dislocation and an exploration of therapeutic manipulations

作　　者：谭振华 王华丽 于兰先 黄海燕 李言杰 孔令新 

机构地区：[1]山东省文登市整骨医院 [2]山东省莱西市人民医院 [3]山东省莒南县中医院

出　　处：《中医正骨》1997年第5期6-7,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：总结了儿童桡尺骨远端骨折背侧移位９４例患者，利用回旋或折顶手法复位小夹板外固定，经８个月～５年的随访观察，效果满意。观察认为，扭转应力及成角应力皆可导致此类损伤，但不同创伤机制所导致的此类损伤的具体解剖不同，必须逆损伤机制，采取相应的手法复位才能获得满意的疗效。建议把儿童桡尺骨远端骨折背侧移位作为桡尺骨骨折的一种特殊类型独立出来，以引起重视。inety-four cases of childran's distal radioulnar fracture and dorsal dislocation were treated by rotating or bendingpushing manual reduction and splint external fixation.The followup of 2/3-5 years showed satisfactory results.Through observations,it was believed that either torsive or angulate stress could cause this injury,but the similar injuries caused by different pathogenetic mechanisms have differant anatonic structures,and the corresponding manual reductions against the pathogenetic mechanism must be selected and used so that satisfactory results could be obtained.It was suggested that the injury should be regarded as a special separated type sa to arouse great attention to the treatment.

关 键 词：桡尺骨远端骨折 诊断 治疗 手法 儿童 

分 类 号：R683.410.5[医药卫生—骨科学]