相关实验视频
Updated: Jun 20, 2026

10:08
Pseudofracture: An Acute Peripheral Tissue Trauma Model
Published on: April 18, 2011
儿童的折射在儿童中的折射
Oskari Pakarinen1,2, Matti Ahonen3, Petra Grahn3
1Department of Surgery, Päijät-Häme Central Hospital, Lahti, Finland.
The Journal of bone and joint surgery. American volume
|March 27, 2025
概括
儿科折断发生在约0.5%的童年骨折中,最常见的是腹肌前臂骨折. 用闭合还原治疗的移位骨折显示出明显更高的折断风险.
科学领域:
- 儿科整形外科 儿科整形外科
- 儿科创伤学 儿科创伤学
- 儿童骨健康 儿童骨健康
背景情况:
- 儿童骨折是一个重大问题,但关于其发生率和风险因素的数据仍然有限.
- 了解折断模式对于优化儿科骨折管理和患者的治疗结果至关重要.
研究的目的:
- 为了确定儿科患者在两年内放射性确认的折断的发生率.
- 分析骨折稳定性与儿童折断风险之间的关联.
主要方法:
- 在同一骨头中至少有两次骨折的儿科患者 (16岁以下) 的回顾性评估 (2014-2023年).
- 排除病理性骨折,导致骨折的全身疾病,以及不同骨位置的骨折.
- 放射和临床记录评估,以识别和分析折断.
主要成果:
- 从20749个初始骨折中,共发现了100个折断 (占所有骨折的0.48%).
- 观察到的折断率最高的是双骨前臂的半身骨 (3.76%),半身骨骨 (1.01%),远端前臂 (0.55%) 和远端骨 (0.49%) 的骨折.
- 与稳定的骨折相比,需要封闭缩减的移位骨折表现出明显更高的折断风险 (RR 8.0).
结论:
- 整体儿科折断率大约为0.5%,腹腔两骨前臂骨折是最容易发生的.
- 折断的中位时间因解剖位置而异,偏远前臂骨折愈合最快.
- 骨折移位和闭合缩小治疗是儿童折断的重要危险因素.
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