尺骨冠状突骨折外科治疗与研究进展  

Advances in surgical treatment and research of fracture of coronal process of ulna

作　　者：熊晨 衡立松[2] 黄伟 朱养均[2] 张堃[2] Xiong Chen;Heng Lisong;Huang Wei;Zhu Yangjun;Zhang Kun(Yan'an Universily,Xi'an 716000,China;Department of Orthopaedic Trauma,Honghui Hospital,Xi'an Jiao Tong University,Xi'an 710054,China)

机构地区：[1]延安大学,716000 [2]西安交通大学医学院附属红会医院创伤骨科,710054

出　　处：《国际外科学杂志》2020年第7期497-501,共5页International Journal of Surgery

基　　金：陕西省重点研发计划项目(2017SF-197)。

摘　　要：尺骨冠状突为肘关节前方重要稳定结构,由冠状突尖部、高耸结节与前内侧面组成,在肘关节骨折脱位损伤中,常伴随冠状突骨折,从而引起肘关节不稳。冠状突体积小、形状特殊、周围软组织结构复杂,并在肘关节稳定性起至关重要的作用,其损伤形式多样化,外科治疗较为棘手。选择安全、创伤小、术野显露良好的手术入路是行安全有效的内固定的必要条件,手术入路的选择必须综合考虑伴随的损伤,选择最佳的手术入路。本文主要阐述冠状突及肘关节周围的正常解剖结构、分析冠状突在肘关节中的生物力学及稳定性作用以及对目前外科最新治疗进展进行综述。The coronal process of ulna is an important stable structure in front of the elbow joint,which is composed of the tip of the coronal process,towering tubercle and anterior medial face.The fracture of the coronal process is often accompanied by the fracture and dislocation of the elbow joint,which leads to the instability of the elbow joint.The coronoid process has the advantages of small size,special shape,complex surrounding soft tissue structure,and plays an important role in the stability of the elbow joint.The selection of safe,minimally invasive and well exposed surgical approach is a necessary condition for safe and effective internal fixation.The choice of surgical approach must comprehensively consider the concomitant injury and choose the best surgical approach.This article mainly describes the normal anatomical structure of the coronal process and around the elbow joint,analyzes the biomechanics and stability of the coronal process in the elbow joint,and reviews the latest progress in surgical treatment.

关 键 词：尺骨 生物力学 生物假体 

分 类 号：R683.41[医药卫生—骨科学]