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在小儿部中介表皮节中部分排泄模式
Richard C Lee1,2, Akbar N Syed2, Margaret A Bowen2
1Department of Orthopedic Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
儿科中介表骨折涉及两种不同的模式:近端侧带 (UCL) 突破和皮质袖子突破. 靠近性UCL突破更为常见,了解这些模式是治疗的关键.
科学领域:
- 整形外科手术 整形外科手术
- 儿科运动医学 儿科运动医学
- 放射学 放射学是一门学科.
背景情况:
- 中间侧侧带 (UCL) 和柔前体 (FPM) 在部中间表皮上有明显的解剖学足迹.
- 瓦尔古斯压力可能导致影响这些特定解剖区域的焦点损伤.
研究的目的:
- 识别和表征儿科中部表皮的不同损伤模式.
- 要区分近端UCL突发骨折和皮质袖突发骨折.
主要方法:
- 从2012年至2022年,对18岁以下患者中部表骨折的回顾性审查.
- 对放射和MRI发现的分析,以分类骨折模式和相关的带/肌肉附件.
主要成果:
- 15.9%的中间表皮骨骨折显示碎片化暗示部分脱骨.
- 靠近的UCL脱落骨折 (n=78) 比皮质袖脱落骨折 (n=35) 更常见.
- 磁力共振成像和手术报告证实了近端突变中的UCL附着和皮质袖突变中的UCL/FPM附着.
结论:
- 有两种主要的儿科中部表皮骨损伤模式存在:近端UCL突起和皮质袖子突起.
- 准确识别这些模式对于了解预后和指导治疗策略至关重要.
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