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对急性隔离远距离放射突关节脱位的系统审查:治疗选择

Konstantinos Zampetakis¹, Ioannis M Stavrakakis¹, Kalliopi Alpantaki¹

¹Department of Orthopaedics and Trauma Surgery, "Venizeleion" General Hospital of Heraklion, 71409 Crete, Greece.

Journal of clinical medicine

|January 8, 2025

概括

急性隔离远距离放射关节 (DRUJ) 脱位是罕见的,并且难以诊断. 保守治疗和手术治疗都产生了令人满意的结果,建议首先进行保守的治疗.

科学领域:

整形外科整形外科整形外科
创伤学创伤学创伤学
运动医学运动医学

背景情况:

急性隔离远端放射关节 (DRUJ) 脱位是不常见的损伤.
它们经常表现出微妙的临床症状,导致诊断延迟和潜在的长期并发症,如不稳定和关节炎.

研究的目的:

系统地审查和评估急性孤立DRUJ脱位的保守和手术治疗的功能结果.

主要方法:

在PubMed,Scopus和Mendeley (2000-2024) 进行了系统的文献搜索,遵循PRISMA指南.
包括的研究集中在成人患者中,孤立的DRUJ位在一周内得到治疗,不包括相关骨折或开放性伤害.

主要成果:

分析了20项研究中的22例病例,主要影响男性 (90.9%),平均年龄为37.9岁.
最常见的是小声突变 (18/22),误诊率为18%. 最常见的是保守治疗 (封闭式减轻和固定).
功能性结果总体上是积极的:82%的人获得了全范围的运动,88%的人报告没有疼痛,所有人都在治疗后有稳定的DRUJ.

结论:

急性单独的DRUJ脱位是罕见的,在诊断上具有挑战性.
无论是保守的还是外科手术的干预措施,都提供了普遍有利的功能结果.
保守的治疗是首选的初始方法,在不可减小或不稳定的脱位时保留手术.

关键词:

软骨的不稳定性软骨不稳定性这是一种失调,失调的失调.遥远的放射性突关节遥远的放射性突关节人手腕受伤的原因

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