孤立的腰椎轴骨折的管理
Todd H Alter1, Karen J Noh, James T Monica
1Department of Orthopaedic Surgery, Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey.
JBJS reviews
|June 5, 2023
概括
大多数孤立的骨骨折在各种治疗方法下愈合得很好. 肘部造可能会导致硬,但不会改善愈合. 确定需要手术的不稳定骨折仍然很困难.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 骨的愈合 骨的愈合
背景情况:
- 孤立的骨骨折是常见的伤害.
- 目前的治疗方案各不相同,关于最佳管理的争论也在继续.
- 潜在的并发症包括关节硬和非联合.
研究的目的:
- 为了评估孤立的骨骨折的稳定性和愈合.
- 评估造在肘部以上对结合率和刚度的影响.
- 确定在不稳定的骨折中进行手术干预的标准.
主要方法:
- 对骨骨折治疗现有文献的综述.
- 基于治疗类型的骨折稳定性和愈合结果的分析.
- 讨论区分稳定和不稳定骨折的挑战.
主要成果:
- 大多数孤立的骨骨折是稳定的,并没有并发症实现结合.
- 在肘部以上的造似乎没有提高结合率,可能导致硬.
- 缺乏明确的指导方针来识别需要操作管理的不稳定断裂.
结论:
- 非手术治疗对于孤立的骨骨折通常是成功的.
- 由于潜在的不良影响,应该仔细考虑肘部固定.
- 需要进一步的研究来确定操作性指示和评估新的骨髓内器件.
更多相关视频
05:18Author Spotlight: Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome
Published on: May 26, 2023
1.5K
04:42Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
147
相关概念视频
Fractures: Bone Repair
3.4K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.4K
Bones of the Upper Limb: Ulna
2.3K
The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
2.3K
Flail Chest-II
213
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
213
Bones of the Upper Limb: Radius
2.3K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
2.3K
