创伤性肘关节不稳的临床分析  

Clinical analysis of traumatic elbow instability

作　　者：章军辉[1] 郝永强[1] 陈永强[1] 

机构地区：[1]上海第二医科大学附属第九人民医院骨科,上海200011

出　　处：《中国骨伤》2004年第4期212-214,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的 :通过创伤性肘关节不稳的临床分析 ,提高该病的诊治水平。方法 :对 2 0 0 1年 1月 -2 0 0 2年 12月收治的 5 6例肘关节不稳病例进行回顾性分析 ,内容包括性别、年龄分布、受伤机制、伴发损伤、治疗方法和结果。结果 :5 6例肘关节不稳中男 2 2例 ,女 34例 ;后外侧旋转脱位 5 1例 ;5 0例的受伤机制是上肢过伸位的撑地伤 ;单纯性脱位 4 0例 ,复合性脱位 16例 ;伴发周围神经损伤 4例 ;非手术治疗 5 1例 ,手术治疗 5例 ;随访中有 3例关节功能位固定 ,2 2例有超过 10°的关节伸直受限。结论 :绝大多数的创伤性肘关节不稳为单纯性后外侧旋转脱位 ,肘过伸、旋后位的轴向应力是其主要的受伤机制 ,治疗以非手术外固定为主 ,部分复合性脱位需行骨折内固定和软组织修复与重建。Objective: To analyzed effect of traumatic elbow instability and to increase its level of diagnosis and treatment. Methods: From January 2000 to December 2002,56 cases of traumatic elbow instability were retrospectively analyzed,including distributions of sex and age,traumatic mechanisms,combined injures and therapeutic methods and results. Results: Male and female were 22 and 34 cases respectively in 56 cases of traumatic elbow instability;among them,the directions of displacement of 51 cases were posterolateral;50 cases happened as a result of falls on the out-stretched hand;the simple and complex displacements were 40 and 16 cases respectively;combined peripheral nerve injuries had 4 case.The non-operative and operative therapy were applied respectively in 51 and 5 cases;the follows-up results showed that 3 cases had immobilized elbows in functional position and 22 cases suffered from >10° extension limitation of elbow. Conclusion: The majority of traumatic elbow instability are simple posterolateral rotatory displacements resulting from the axial force on the out-stretched elbow with supination.The non-operative therapies are principal modalities.Some complex displacements require internal fixations,soft tissue repair and reconstruction for combined fractures.

关 键 词：创伤性肘关节不稳 肘关节脱位 治疗 诊断 

分 类 号：R684.7[医药卫生—骨科学]