儿童桡骨下端骨折背向移位并下尺桡关节损伤  

MECHANISM ANALYSIS OF CHILDRENS DISTAL RADIAL FRACTURE AND DORSAL DISPLACEMENT WITH DISTAL ULNORADIAL JOINT INJURY: A Report of 33 Cases

作　　者：陈佐如 曾辉东 

机构地区：[1]湖南省邵东县中医院

出　　处：《中医正骨》1999年第2期9-10,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：报告儿童桡骨下端骨折背向移位并下尺桡关节损伤３３例。通过对患者体位、症状、体征及Ｘ线片综合分析和整复实践中的观察，认为此类骨折与移位是由于前臂旋前腕背伸桡偏位手掌撑地间接暴力作用所致。根据骨折复位过程是骨折移位的反过程的治疗原则，应用回旋手法为主，均能一次整复成功，并将此类骨折命名为儿童桡骨下端骨折背向移位并下尺桡关节损伤。Thirty three cases of childrens distal radial fracture and dorsal displacement with distal ulnoradial joint injury are reported in this paper. Through a comprehensive analysis of patients posture, symptoms, signs and X rays and a observation in manipulative reduction, it was believed that this fracture displacement is attributed to an indirect violence in a falling on the palm with the forearm pronated and the wrist dorsoextended and ulno deviated. According to the therapeutic principle “The process of fracture reduction is the contrary of fracture displacement”, one stage successful manipulative reduction can be made by a rotating manipulation and the injury may be named childrens radial distal fracture and dorsal displacement with distal ulnoradial joint injury.

关 键 词：桡骨下端骨折 治疗 背向移位 回旋手法 儿童 

分 类 号：R726.834.1[医药卫生—儿科]