哪一个更常见;右侧或左侧远端辐射骨折?
Grey Giddins1, Miranda Giddins2
1The Hand to Elbow Clinic, Bath, UK.
The Journal of hand surgery, European volume
|September 29, 2025
概括
成年人远半径骨折在左侧和非主导手上更常见. 这一发现基于对已发表文献的审查,可能会影响临床试验设计和对骨折机制的理解.
科学领域:
- 整形外科和创伤学
- 流行病学 流行病学
- 生物机械分析 生物机械分析
背景情况:
- 远端辐射骨折是成年人常见的伤害.
- 了解横向性和手掌优势模式对于临床管理和研究至关重要.
- 以前的文献缺乏关于这些侧面和主导性骨折的流行情况的全面数据.
研究的目的:
- 系统地审查现有文献,以确定成人远端辐射骨折是否在左侧比右侧更高的发病率.
- 评估这些骨折是否在非主导或主导手上更为普遍.
主要方法:
- 使用预定义的搜索标准进行了结构化的文献审查.
- 论文被选为相关的横向性和手占主导地位在成人远端辐射骨折.
- 纳入标准要求研究报告成年患者,包括超过250个骨折,并提供关于横向性或手部主导性的数据.
主要成果:
- 对10项符合条件的研究进行分析,其中包括47,959例远端辐射骨折,发现左侧 (55.3%) 与右侧 (44.7%) 相比,左侧的发病率显著更高.
- 进一步分析1738例报告手部占主导地位的骨折,表明非占主导地位的手 (53.8%) 与占主导地位的手 (46.2%) 的发生率更高.
- 这些发现得到了国家数据库和机构植入物购买模式的数据的支持.
结论:
- 远端辐射骨折发生在左侧的频率明显高,影响非主导手.
- 这种观察到的横向性和主导性偏差的根本原因尚不清楚,可能涉及摔倒力学,保护性反射或骨密度变化.
- 这些流行病学见解可能有助于验证涉及远端辐射骨折的临床试验的随机化策略.
关键词:
数据验证数据验证距离半径 距离半径占主导地位的主导地位 主导地位 主导地位流行病学流行病学骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折.手的统治,手的统治.在左边的左边,左边的左边.伤害的机制.不占主导地位的非主导地位这是正确的,正确的.更多相关视频
10:36Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
771
06:59Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents
Published on: August 14, 2018
14.0K
相关概念视频
Bones of the Upper Limb: Radius
4.5K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
4.5K
Assessment of radial pulse
1.4K
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
1.4K
Assessment of apical radial pulse
1.2K
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
1.2K
Fractures: Bone Repair
5.1K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
5.1K
Bones of the Upper Limb: Ulna
4.2K
The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
4.2K
Arteries of the Upper Limbs
2.1K
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
2.1K
