儿童/青少年的某些骨折模式更好地被称为"巴顿相当"骨折
Soo Min Cha1, Hyun Dae Shin, In Ho Ga
1Department of Orthopedic Surgery, Regional Rheumatoid and Degenerative Arthritis Center, Chungnam National University Hospital and Chungnam National University School of Medicine, Daejeon, Korea.
这项研究报告了儿童的飞行巴顿骨折 (VBF),发现支柱板有效. 这些手腕骨折,没有身体参与,表明需要重新定义VBF类别作为一个
科学领域:
- 整形外科手术 整形外科手术
- 儿科创伤学 儿科创伤学
- 放射学 放射学是一门学科.
背景情况:
- 发声巴顿骨折 (VBF) 在儿童和青少年中不常见.
- 以前的分类可能不完全涵盖在这个年龄组没有体内参与的情况下的VBF模式.
研究的目的:
- 评估VBF在儿童和青少年的放射性和临床结局,使用支架板进行管理.
- 建议对这些伤害进行修订的分类.
主要方法:
- 从2008年至2019年,对16名患有VBF的儿童/青少年进行了回顾性病例系列.
- 放射性评估飞行倾斜,辐射倾斜和腰椎变异.
- 临床评估包括疼痛评分,运动范围,握力和梅奥手腕评分在至少2年的随访.
主要成果:
- 放射性参数 (侧倾斜,侧偏差) 与对侧手腕相似;辐射倾斜显示出显著的差异.
- 报告了优秀的临床结果:疼痛程度低 (VAS 0.38),运动范围良好,功能得分高 (修改后梅奥手腕得分92.8).
- 支柱板在不涉及体质的情况下,对VBF表现出令人满意的结果.
结论:
- 支柱是一种有效的治疗飞行巴顿骨折的治疗方法,在儿科患者中不涉及体.
- 建议将"巴顿等效"骨折术语用于涵盖这些损伤,包括"沙吉塔平面中的SH-II"骨折.
- 建议对儿科手腕创伤重新审视"VBF类别".
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