肘部跨骨折位移:对分类系统的系统审查和澄清
Micah J Nieboer1, Alexandra Cancio-Bello1, Katherine E Mallett1
1Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Journal of shoulder and elbow surgery
|November 30, 2023
概括
跨骨基础冠状腺骨折的结果比跨骨或蒙特吉亚变体损伤更糟糕. 这些复杂的肘部脱位导致运动范围的减少和更高的并发症率,需要进一步研究以获得最佳治疗.
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
- 肘部生物力学 肘部生物力学
背景情况:
- 复杂的肘部脱位与背皮层骨折是难以分类和治疗的挑战.
- 现有的分类包括蒙特基亚变异,跨大脑骨折脱,和奥德里斯科尔的基本冠状骨折.
- 梅奥分类将这些划分为跨olecranon,Monteggia变体和跨ulnar基底冠状骨折脱位.
结论:
- 跨骨基础冠状腺骨折脱位与患者报告的结果较差,运动范围减少和并发症增加有关.
- 这些发现表明,与跨olecranon或Monteggia变体骨折脱位相比,预后更差.
- 需要进一步的研究来确定这种复杂的伤害模式的最佳治疗策略.
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