远距离半径过渡性骨折的评估和管理
Tyler J Moon1, Julian A Gatta1, James R Anderson1
1Department of Orthopedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, USA.
Cureus
|March 4, 2025
概括
青少年的过渡远半径骨折很少见,通常呈现为侧索尔特-哈里斯III/II损伤. 这项迄今为止规模最大的研究详细介绍了它们的表现和成功的管理,包括封闭的减少和穿皮钉定.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形医生 儿科整形医生
- 放射学 放射学是一门学科.
背景情况:
- 过渡性骨折涉及骨不成熟的患者的生体 (生长板).
- 远距离骨过渡性骨折很常见,但远距离半径骨折很少见,只有10次先前报告.
- 这项研究介绍了距离半径过渡性骨折的最大案例系列.
研究的目的:
- 报告迄今为止最大的一系列远半径过渡性骨折的发现和结果.
- 扩大评估和管理这些罕见伤害的资源.
- 为了确定特征性骨折模式和成功的治疗方式.
主要方法:
- 六名18岁以下患有远端半径过渡性骨折的患者的回顾性图表审查.
- 收集人口统计,伤害,放射和结果数据.
- 骨折模式和治疗方法的分析,包括封闭的减少,造和穿皮钉.
主要成果:
- 患者年龄在13至18岁之间;四名男性,两名女性.
- 大多数伤害是由于体育运动期间的低能量落造成的,移位最小.
- 典型的X射线图案:在AP上是侧面的萨尔特-哈里斯 (SH) III,在侧面的视图上是SH-II. 两个病例显示出孤立的SH-III.
- 五名患者接受了封闭的减少和造治疗; 一名患者接受了封闭的减少和穿皮钉 (CRPP) 治疗,因为不稳定.
- 所有人都没有出现并发症,除了一个部分增长停止,需要切除骨条.
结论:
- 这一系列代表了最大的远半径过渡性骨折的集合,增强对这些损伤的理解.
- 骨折模式类似于远距离骨的蒂劳斯骨折,冠状平面上有一个孤立的SH-III组件.
- 证明了CRPP的成功治疗,为未来的诊断和管理提供了指导.
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