在儿科中轴前臂骨折中可接受对齐的放射学标准:系统性审查
M Scotcher1, H H Chong2, A Asif3
1Department of Plastic Surgery, Addenbrooke's Hospital Cambridge University, Cambridge, United Kingdom.
Malaysian orthopaedic journal
|December 18, 2023
概括
儿童前臂骨折指南需要更新. 目前在中轴骨折中进行干预的放射学标准因年龄而异,支持这些值的高质量证据有限.
科学领域:
- 整形外科手术 整形外科手术
- 儿科创伤 儿童创伤
- 放射学 放射学是一门学科.
背景情况:
- 儿科前臂骨折是常见的伤害.
- 长大的骨头具有显著的重塑能力,通常会带来很好的结果,干预的最小程度.
- 放射性特征指导治疗决策,但标准因年龄而异.
研究的目的:
- 巩固证据基础的放射性指示干预儿科中轴前臂骨折的干预.
- 审查目前用于非手术治疗这些骨折的放射学标准.
主要方法:
- 系统性审查遵循系统性审查和元分析 (PRISMA) 准则的首选报告项目.
- 对16岁或以下的患者中轴前臂骨折的放射学标准的查和研究分析.
主要成果:
- 从2,059篇初步论文中选择了14项研究.
- 对于0-10岁的儿童:干预措施适用于>15°角角,>10°冠角和/或>50%翻译.
- 对于10岁以上的儿童:干预措施适用于>10°角角,>10°冠角和/或>50%翻译.
结论:
- 缺乏高质量的证据,结果报告的差异很大.
- 自1998年以来,基于证据的干预门没有显著发展.
- 需要使用患者报告的结果进行多中心研究,以澄清管理指南.
相关概念视频
01:27Fractures: Bone Repair
3.2K
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...
3.2K
01:09Bones of the Upper Limb: Radius
2.2K
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...
2.2K