肱骨髁上骨折并发肘内翻的临床和应用解剖分析

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1、遵义医学院硕Ij学何论文肱骨髁f：骨折并发肘内翻的临床平兀膨用4}i『剖研究CLINICALANDAPPLIEDANATOMYSTUDIESOFCUBITUSVARUSWITHSUORACONDYLARFRACTUREOFHUMERUSAbstractObjective：Toexploretherelationsbetweencubitusvaruswiththesupracondylarfractureofhumerusandthetypeoffracture，theregionalanatomyandbiomechanicsand

2、linicalmanagement，inordertopreventandreducethecubitusvaruswiththesupracondylarfractureandincreaselong—termefficacy．Methods：1．Itwasretrospectedthatthedataof136casesofclinicalmanifestationsofsupracondylarfractureofhumerus，fracturedtypes，x-rayimagingweredividedintotwogroup

3、sfromSeptember2003toJanuary2007intheAffiliatedHospitalofzunyiMedicalCollege．Nooperatinggroup(NOG)weretreatedbymanualrepositiononelbowjoint100"-1100andneutralpositionorpronationofforearm，operatinggroup(NG)weretreatedbytheelbowjointon100。andneutralpositionorpronationoffor

4、earm．2．4Upperextremitiesof2cadaverswereanatomiedinordertoobservethestructuralcharacteristicandmulsclesfromthecondyleofhumerus，toobservethepositionchangeandthetensonofmusulesbysimulatingsupracondylarfractureofhumerus，pullingtheflexorandextensorfromthemedialandlateralcond

5、yleatelbowjointon90。orstraighten．Results：1，AccordingtoFlynnclinicalfuctionalevaluationstandard，18caseshadcubitusvarusintwogroups．8caseswereinNOG(2inpartialulnarorrotation,4inGartlandlIl，2inGartlandI，theangleofcubitusvarusewithrfrom20。to45。andtheeverageWas33。)；10caseswer

6、einOG．(1inpartialulnarorrotation5inGartlandlII，4indelayedfracture，theangleofcubitusvarusealterfrom20。to40。andtheeverageWas31．6。)．2，anatomizingfound：1)Thedistalendofhumeruswasfromtrigoneintothinandbreadth，theexertedlen舀hofexteriorandinteriorWasunequal；2)Frommedialepicond

7、yleflexorwaspronatorquadratusmuscle，flexorcarpiradialis，palmarislongus，theflexorcarpiulnaris；fromlateralepicondyleextensorwasextensorcarpiradialislongus，extensorcarpiradialisbrevis，extensordigitorum，supinatororiginated；3)Theremotionofthefractureinthe．7．遵义医学院硕fj学位论文胧骨职f：

8、骨折并发肘内翻的临床和戍用钎剂研究distaltowardinteriorwasfondbypullingforearmflexorfrommedialepicondylewhenthefracturewasreposi