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作 者:何海龙 古恩鹏[1,2,3] He Hailong;Gu Enpeng(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300380,China;Department of Orthopedics,Southern Campus,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300380,China;Tianjin Binhai Hospital of Traditional Chinese Medicine,Tianjin 300450,China)
机构地区:[1]天津中医药大学第一附属医院、国家中医针灸临床医学研究中心,天津300380 [2]天津中医药大学第一附属医院骨伤科,天津300380 [3]天津市滨海新区中医医院,天津300450
出 处:《创伤外科杂志》2022年第12期954-959,共6页Journal of Traumatic Surgery
摘 要:Essex-Lopresti损伤是患者前臂屈肘旋前位时受到从腕关节传递至肘关节的高能量负荷所导致的桡骨头骨折、骨间膜损伤、远端尺桡关节分离,其罕见性使之易漏诊、误诊、延迟治疗等,最终发展成慢性损伤,给治疗带来了难度。正确认识Essex-Lopresti损伤的损伤机制、临床诊断、治疗原则将极大降低患者手术失败的风险,对指导医者具有重要意义,本文就这方面进行综述。Essex-Lopresti injury is caused by high energy load transmitted from the wrist to the elbow during flexion and pronation of the forearm,resulting in radial head fracture,interosseic membrane injury,and distal radioulnar joint separation.It is rare and thus easily to be miss-or mis-diagnosed and delayed in treatment,which eventually develops into chronic injury and makes further management more difficult.Therefore,a correct understanding of the injury mechanism,clinical diagnosis and treatment principles of Essex-Lopresti injuries will greatly reduce the risk of surgical failure and thus of great significance to guide surgeons.
关 键 词:ESSEX-LOPRESTI损伤 桡骨头骨折 骨间膜损伤 尺桡关节脱位 诊疗
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