在围绕肘部脱位进行导航时,寻找POLESTAR (软组织和辐射头的后侧参与)
Simone Cassin1, Valeria Vismara1, Alberto Zellner1
1Scuola Di Specializzazione in Ortopedia e Traumatologia Università Degli Studi Di Milano, Milan, Italy.
Journal of shoulder and elbow surgery
|January 31, 2024
概括
后侧头病变,称为POsteroLateral Engagement of Soft Tissue And Radial head (POLESTAR) 模式,在肘部脱位中非常普遍. 在肘部脱位中非常普遍. 这些病变呈现为冲击或碎片化类型,频率因损伤严重程度而异.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 创伤成像技术创伤成像技术
背景情况:
- 肘部脱位往往涉及报道不足的骨和骨质突后侧头损伤.
- 计算机断层扫描 (CT) 对于识别这些相关损伤至关重要.
研究的目的:
- 在CT扫描上检查前后侧头损伤的放射性迹象.
- 定义和分类软组织和辐射头部 (POLESTAR) 模式的POsteroLateral参与.
主要方法:
- 对51次肘部脱位CT扫描进行了回顾性分析.
- 根据受伤严重程度,将患者分为4组 (从简单的位到可怕的三位一体).
- 分析和分类POLESTAR模式作为冲击或碎片化类型.
主要成果:
- 在94%的病例中发现了POLESTAR病变.
- 46%是冲击式的,54%是碎片式的.
- 冲击类型的POLESTAR随着伤害严重程度的增加 (40%至57%) 增加,而碎片类型的减少 (60%至43%).
结论:
- 在肘部位中,POLESTAR病变的发病率很高 (94%).
- 病变呈现为撞击或碎片化类型.
- 冲击类型在严重伤害 (3-4级) 中更常见,碎片类型在不那么严重的伤害 (1-2级) 中更常见.
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