橈骨遠(yuǎn)端骨折經(jīng)典教學(xué)知識

1、 橈骨遠(yuǎn)端骨折Fracture of Distal End of Radius目錄1. 定義及流行病學(xué)2.橈骨解剖特點3.骨折發(fā)病機制及分型 4. 治療5. 討論定義橈骨遠(yuǎn)端骨折是指距橈骨遠(yuǎn)端關(guān)節(jié)面3cm以內(nèi)的骨折骨松質(zhì)與骨密質(zhì)交界處，解剖薄弱，骨折高發(fā)。3cm流行病學(xué)特征發(fā)病率：人類全身最常見的骨折,其發(fā)病率約占急診骨折病人的17 %種族：無人種差異年齡：雙峰分布 5-14歲 關(guān)節(jié)內(nèi)骨折 60-69歲 關(guān)節(jié)外骨折性別：老年人 男:女=1:4 青春期：男:女=3 :1解剖解剖 尺偏角2025 掌傾角1015 ThemeGallery is a Design Digital Content &

2、Contents mall developed by Guild Design Inc.解剖骨折發(fā)病機制及分類骨折發(fā)病機制及分型骨折分類系統(tǒng)是一種有效的工具，它能幫助骨科醫(yī)生為各種特定的骨折給出適當(dāng)?shù)闹委煼桨?；同時也有助于對疾病的預(yù)后作出合理的判斷-Albert H. Burstein, PhD, Deputy Editor for Research, Journal of Bone and Joint Surgery 骨折發(fā)病機制及分類Text人名AOTextTextCycle nameAdd Your Text橈骨遠(yuǎn)端骨折1.橈骨遠(yuǎn)端骨折的分類方法很多，但幾乎所有的分類都是以受傷機制和骨折

3、形態(tài)為依據(jù)，沒有哪一種分類方法能包括所有的骨折情況。2.臨床最常用的分類方法有以人名命名的方法和AO分類方法。AO分型Add Your TextAdd Your TextAdd Your TextAdd Your TextAdd Your TextAdd Your TextTextA不涉及關(guān)節(jié)面B部分關(guān)節(jié)面骨折C完全關(guān)節(jié)面骨折1.Colles骨折TextTextTextAdd YourTitle TextText 1Text 2Text 3Text 4Text 5Add YourTitle TextText 1Text 2Text 3Text 4Text 5TextText1814年Abrah

4、am Colles首先詳細(xì)描述此類骨折。約占所有骨折的6.7特點：遠(yuǎn)側(cè)骨折端向背側(cè)傾斜，前傾角減小2.smith骨折ConceptAdd Your TextTextTextTextTextTextText1847年Smith Rw詳細(xì)描述了橈骨遠(yuǎn)端骨折的另一種類型，即反colles骨折，約占全身骨折的O.1，少。特點：遠(yuǎn)折端向掌側(cè)移位，合并下尺橈關(guān)節(jié)脫位，（掌傾角加大）3.barton骨折Add Your TextAdd Your TextAdd Your TextAdd Your TextAdd Your TextAdd Your TextAdd Your TextAdd Your Text

5、1838年Barton描述一種橈骨遠(yuǎn)端涉及關(guān)節(jié)面的骨折并且伴腕關(guān)節(jié)脫位。較少見。4，chauffeur骨折ConceptConceptconceptConcept1910 年Chauffeur最早提出特點：橈骨莖突孤立性骨折，骨折不移位，但多伴舟月韌帶損傷。A1ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.2ThemeGallery is a Design Digital Content & Contents mall developed by Guild Desig

6、n Inc.3ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.A1：孤立的尺骨遠(yuǎn)端骨折A2：橈骨遠(yuǎn)端簡單骨折，無粉碎、無嵌插A3：橈骨遠(yuǎn)端骨折，粉碎、嵌插BYour TextYour TextYour TextYour TextYour TextYour TextYour TextYour Text2001200220032004B1：橈骨遠(yuǎn)端矢狀面骨折B2：橈骨遠(yuǎn)端背側(cè)緣骨折B3：橈骨遠(yuǎn)端掌側(cè)緣骨折CTitleThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.TitleThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.TitleThemeGallery is a Design Digital Content & Contents mall