儿童肱骨远端全骺分离的X线诊断  

X-ray Diagnosis of the Child Distal Humeral Epiphysiolysis

作　　者：康占龙[1] 符水 张文清[1] 陈仲平[1] 魏昭[2] 

机构地区：[1]广东省深圳市宝安区观澜医院放射科 [2]广东医学院

出　　处：《中国现代医生》2009年第1期41-42,44,共3页China Modern Doctor

摘　　要：目的探讨儿童肱骨远端全骺分离的损伤机制及X线片表现、鉴别诊断。方法收集32例儿童肱骨远端全骺分离患者的肘关节X线正侧位片进行回顾性分析。结果儿童肱骨远端全骺分离X线片特点如下:(1)肘关节正位及侧位片均显示桡骨纵轴线通过肱骨小头;(2)肱骨内外髁只是与肱骨干骺端之间的关系发生变化,而与尺骨鹰嘴间关系并无变化;(3)尺桡骨带肱骨干骺端骨折片或肱骨外髁移向内侧;(4)上尺桡关系不变。结论肱骨远端全骺分离极易误诊为肘关节脱位、肱骨外髁骨折、内髁骨折,掌握儿童肱骨远端骨骺发育的解剖生理特点及儿童肘关节损伤规律,重视临床症状、体征、X线片表现仍可做出正确诊断。Objective To discuss the damage mechanism,X-ray performance and differential diagnosis of the child distal humeral epiphysiolysis. Methods The elbow joint X-ray plus of 32 example child distal humeral epiphysiolysis were analyzed retrospectively. Results The X-ray characteristics of child distal humeral epiphysiolysis were as follows： （ 1 ）The elbow joint normal position and the side position piece demonstrated that the radius vertical spool thread passes the capitulum humeri; （2）The humerus inside and outside condyles were only change with the brachium backbone epiphysis end between relations, but the relations and did not have the change with the ulna hawk mouth between; （3）Outside the ruler radius belt brachium backbone epiphysis end bone fracture piece or the humerus the condyle carries over the inside; （4） on ruler oar relations to be invariable. Conclusion The humerus far-end entire epiphysis separation is extremely easy to misdiagnose for outside the elbow joint dislocation, the humerus the condyle bone fracture, in the condyle bone fracture, grasps the child humerus far-end bone epiphysis growth the dissection physiology characteristic and the child elbow joint damage rule, emphasize the clinical symptoms, sign,X-ray performance still to be possible to make the correct diagnosis.

关 键 词：肱骨远端骨折 全骺分离 X线 儿童 

分 类 号：R681.7[医药卫生—骨科学]