骨肌脱位的发生率与骨骨折
Elizabeth Cho1, Aidimer Perez2, Frances Akwuole2
1Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, IL, United States.
概括
创伤性部肌脱位 (PTD) 是常见的骨折,影响五分之一的患者. 要注意PTD,特别是侧向过程骨折和斑点标志,以确保及时诊断和治疗.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 放射学 放射学是指放射学
背景情况:
- 创伤性部肌脱位 (PTD) 经常与柱骨和骨骨折有关.
- 关于PTD与骨骨折同时发生的文献有限.
- 这项研究调查了PTD在骨骨折的患者中发生率和特征.
研究的目的:
- 为了确定手术治疗的骨骨折中创伤性骨位 (PTD) 的发生率.
- 为了确定与PTD相关的因素,在骨折患者.
- 要突出诊断挑战和并发症相关的PTD在这个人群中.
主要方法:
- 对经过手术治疗的骨骨折的成年患者的回顾性审查.
- 分析患者的人口统计学,损伤特征和并发症,使用图表,放射图和高级成像.
- 从2007年到2021年,在一级学术创伤中心治疗了126名患有128个骨折的126名患者.
主要成果:
- 骨折中PTD的发生率为21.1% (在128个骨折中27个).
- PTD与侧面过程骨折 (39%的发病率) 和斑点标志的存在有显著的关联.
- 带有PTD的骨折显示出较高的无血管亡率 (30.4%对12.7%).
结论:
- 创伤性关节肌脱是骨骨折的一个相对常见的并发症.
- 外科医生和放射科医生必须保持对PTD的高度怀疑指数,特别是在侧向过程骨折和积极的斑点标志的情况下.
- 早期识别和治疗PTD至关重要,以防止延迟诊断和相关并发症,如无血管缩.
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