儿科侧骨骨折后的阴:真实还是伪?
Kyungil Kim1, Chiyoung Yoon2, Han Yong Lee3
1Department of Orthopedic Surgery, Wonkwang University Sanbon Hospital, Gunpo, Republic of Korea.
BMC musculoskeletal disorders
|June 13, 2023
概括
伪椎骨折在侧面状骨折后比真椎骨折更为常见. 增加3.7毫米的间体宽度可以预测真正的椎骨,更高的骨折阶段增加了风险.
科学领域:
- 儿科整形外科 儿科整形外科
- 创伤学 创伤学 创伤学
- 放射学 放射学是指放射学
背景情况:
- 儿童的侧侧骨骨折可能导致过度生长或骨,模仿大.
- 区分真正的阴茎 (实际角) 和伪阴茎 (明显的变形) 对于准确的诊断和治疗至关重要.
研究的目的:
- 为了比较儿童在侧面状骨折后真和伪状骨的患病率.
- 为了确定真正的肘部变异的发展的预测因素.
主要方法:
- 分析了一组192名患有单侧侧骨折的儿童和>6个月的随访.
- 放射测量包括曼角,大腿骨-肘部-手腕角,以及骨髓间的宽度.
- 真正的肘部形被定义为X射线上的形角>5°;增加的间体宽度表明过度生长/形.
主要成果:
- 真正的肘部的确诊率为32.8% (曼角) 和29.2% (腰椎-肘部-手腕角).
- 在94.8%的患者中观察到间体宽度增加.
- 间体宽度增加3.675毫米预测5°瓦鲁斯角;较高的骨折阶段 (3-5) 增加了肘部瓦鲁斯风险2.88倍.
结论:
- 在这个儿科队列中,伪子比真子更为普遍.
- 体间宽度增加3.7毫米,可以作为真正体变异的简单预测指标.
- 骨折的严重程度 (Song的分类阶段3-5) 与患上肘部的风险更高有关.
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