肱骨干投弹骨折的X线片分析及临床意义  

Analysis of Radiograms of Throwing Fracture of the Humeral Shaft and Its Clinical Significance

作　　者：宋子卫[1] 林舟丹[1] 刘传太[1] 程昌志[1] 李贵谦[1] 

机构地区：[1]解放军第303医院骨科,南宁530021

出　　处：《医学综述》2012年第17期2915-2916,共2页Medical Recapitulate

摘　　要：目的分析肱骨干投弹骨折的X线片,探讨其发生机制及骨折形态的特点,从而提高疗效。方法分析76例肱骨干投弹骨折X线片中骨折部位、骨折长度、斜面角度等指标,根据其特点采用微创螺丝钉有限内固定治疗并进行评价。结果 76例肱骨干骨折部位均在肱骨中下段、骨折形态均为长螺旋形骨折。骨折长度(L):55～130 mm,平均(11.3±0.5)mm。骨折斜面角度(α):35°～42°,平均38.2°。术后随访6～25个月,平均18.5个月,76例均在8～22周内获得临床愈合,平均13周。按Cassebaum评分系统评价,本组肩肘关节功能优74例,良2例,优良率100%。结论肱骨干投弹骨折是肱骨中下段长螺旋形骨折,属较不稳定骨折,采用微创螺丝钉有限内固定方法治疗投弹肱骨干骨折,疗效满意。Objective To find out relative data by analyze the radiograms of throwing fracture of the hu- meral shaft. Methods Seventy-six cases were studied by observing the location of fracture bone, measuring it, s length and angles in X-ray films. Seventy-six cases were treated with limited open reduction and minimal- ly invasive internal fixation with screws. Results All cases were spiral fractures. All cases were located in mid-distal portion of the humerus. Seventy-six cases had fracture length between 55 mm to 130 mm with an average of（ 11.3 ± 0.5 ）ram. All fracture angles between 35°-42° with an average of 38.2°. The post-opera- tion follow up ranged from 6 to 25 months with an average of 18.5 months. The bone healing was obtained of after 8-22 weeks and the average clinical healing period was 13 weeks. According to Cassebaum＇s criteria, functional recovery of shoulder and elbow of all cases were excellent in 74 eases, good in 2 cases, the excel- lent and good rate was 100%. Conclusion Humeral fracture following the throwing of hand grenades is a unstable spiral fracture in middle and distal one-third of humerus. Good results can be obtained by treatment with limited open reduction and minimally invasive internal fixation with screws.

关 键 词：肱骨干 投弹骨折 X线片 微创治疗 

分 类 号：R683.41[医药卫生—骨科学] R687.32[医药卫生—外科学]