桡骨远端骨折课件

《桡骨远端骨折课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、FractureofDistalRadiusZhi-jieXi,MDThe DepartmentoftraumaandHandSurgeryThe First Affiliated Hospital of universityofGuangxiTraditionalChineseMedicineOutlineEpidemiologyAnatomyandbiomechanicsRadiographicalandarthroscopicevaluationClassificationCriteriaforacceptablere

2、ductionpredictorsofinstabilityComplicationAAOS-guidelinesDebatesEpidemiologyFrequencyDistalradialfracturesaccountfor1/6ofallfracturesseenintheEDRaceNoracialpreferences havebeen reportedAgePeaksatages5-14yearsandatages60-69years.Youngpatientsintra-articularElderlyp

3、atientsextra-articularGenderPostmenopausalwomen,female-to-maleratio4:1Adolescentboysandgirls,theratiois3:1AnatomyvolarradialtuberositylunatefacetbuttressPQ=PronatorQuadratusLine,orPQLineWS=WatershedLine,X=VolarRadialTuberosityVR=VolarRadialRidgeBiomechanics80%o

4、ftheloadistakenonthedistalradiusand20%oftheloadistakenontheTFCCDIC=dorsalintercarpalligamentDRC=dorsalradiocarpalligamentRadiographicAssessmentX-rayCTMRIArthroscopicevaluationX-ray0.9mm10°-15°正面切线位（11°）侧面切线位（21°）标准侧位关节面切线位CTCTMRIArthroscopyClassificationFracturecla

5、ssificationsystemsare,ineffect,tools.Thepurposeofthetoolistohelpthesurgeontochooseanappropriatemethodoftreatmentforeachandeveryfractureoccurringinaparticularanatomicalregion.Theclassificationtoolshouldnotonlysuggestamethodoftreatment,itshouldalsoprovidethesurgeonwi

6、thareasonablypreciseestimationoftheoutcomeofthattreatment."------AlbertH.Burstein,PhD,DeputyEditorforResearch,JournalofBoneandJointSurgeryColles'fractureisanextraarticularlowenergyfractureprimarilysustainedintheelderly,afracturealmostuniquetocaucasianwomen.a"classi

7、c"Colles'fractureSirAbrahamColles’Fracture(1814)Smith’sfracture1847RobertWilliamSmithconsideredthis"aninjuryofexceedinglyrareoccurrence,"butitsdescriptionheraldedtheageofvehiculartraumain1847:Thepatient,inendeavouringtosavehimselffrombeingrunoverbyacar,fellwithgrea

8、tviolenceuponthebackofhishand...RobertWilliamSmith (1807-1873)woodcutfromSmith'soriginaldescriptionTheclassicBarton'sfracturedescribesthedorsalr