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警拳击手的骨折冒充者:元在哪里结束,隔膜在哪里开始?
Celina DeBiasio1,2, Ewa Sucha3, Richard J Webster3
1Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
儿童的第五手指骨折通常是稳定的. 骨折时可能需要进行手术,因为骨折的角度增加或位于骨附近的骨折可能需要手术.
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
- 手术手术手术手术手术
背景情况:
- 第五手指骨折是常见的儿科伤害.
- 甲手腕隔膜骨折可能是不稳定的,需要手术干预.
- 预测儿科第五手指骨折的不稳定性至关重要.
研究的目的:
- 为了确定第五手指骨折的特定位置,这表明儿童手术干预的风险.
- 确定儿科第五手指骨折中手术干预的预测因素.
主要方法:
- 追溯对98名儿科患者 (年龄≤18) 的队列分析,其中有第五手臂骨折.
- 来自电子病历的临床和放射数据的审查.
- 多变量后勤回归用于确定手术的预测因素,包括骨折位置和角度.
主要成果:
- 骨折角的增加和近端骨折位置是手术的独立预测因素.
- 骨折近近70%的甲腕长度显示预测价值的手术需要.
- 12.2%的患者被推进行手术,44.2%的患者接受了封闭缩小.
结论:
- 在儿科第五手指骨折中,骨折角度和位置接近手指骨长度的70%预测了需要手术的情况.
- 这些发现有助于确定儿科第五手指骨折的外科候选人.
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