桡骨近端骨折的损伤机制与骨折类型和合并伤的关系  

Relationship between Injury Mechanism of Proximal Radius Fracture and the Fracture Types and Complicated Injuries

作　　者：何国彬 吴巧杏 吴起 HE Guobin;WU Qiaoxing;WU Qi(Leliu Hospital Affiliated to Shunde Hospital of Guangzhou University of Traditional Chinese Medicine,Foshan 528322,China)

机构地区：[1]广州中医药大学顺德医院附属勒流医院,广东佛山528322

出　　处：《中国医学创新》2021年第23期167-170,共4页Medical Innovation of China

摘　　要：目的:探讨桡骨近端骨折的损伤机制与骨折类型和合并伤的关系。方法:回顾性分析2014年1月-2018年12月本院就诊的50例桡骨近端骨折患者的临床资料。采用Mason分型对骨折类型进行区分,探讨桡骨近端骨折的损伤机制与骨折类型和合并伤的关系。结果:不同骨折类型的手部着地,外翻位摔倒情况比较,差异有统计学意义(P<0.05),且此损伤机制下以Ⅱ型骨折为主。不同骨折类型的肘部直接着地、跌落前受到强力牵拉以及硬物撞击情况比较,差异均无统计学意义(P>0.05)。不同损伤机制对是否伴有合并伤比较,差异有统计学意义(P<0.05)。结论:手部着地、外翻位摔倒是桡骨近端骨折的主要损伤机制,且损伤机制与伴有合并伤有关。Objective:To explore the relationship between the injury mechanism of the proximal radius fracture and the fracture types and complicated injuries.Method:The clinical data of 50 patients with proximal radius fracture treated in our hospital from January 2014 to December 2018 were retrospectively analyzed.The Mason classification was used to distinguish the fracture types and to explore the relationship between the injury mechanism of the proximal radius fracture and the fracture types and complicated injuries.Result:There was significant difference in valgus fall among different fracture types (P<0.05),and type Ⅱ fracture was the main injury mechanism.There were no significant differences in the direct landing,the strong pulling before falling and the impact of hard objects on the elbow of different fracture types (P>0.05).There was significant difference among different injury mechanisms in the combination of injuries (P<0.05).Conclusion:Hand landing and valgus fall are the main injury mechanism of the proximal radius fracture,and the injury mechanism is related to the complicated injuries.

关 键 词：桡骨小头 桡骨颈 桡骨近端骨折 损伤机制 

分 类 号：R687.3[医药卫生—骨科学]