儿童桡骨颈骨折治疗
相关主题
- 1、下载文档前请自行甄别文档内容的完整性，平台不提供额外的编辑、内容补充、找答案等附加服务。
- 2、"仅部分预览"的文档,不可在线预览部分如存在完整性等问题,可反馈申请退款(可完整预览的文档不适用该条件!)。
- 3、如文档侵犯您的权益，请联系客服反馈,我们会尽快为您处理(人工客服工作时间：9:00-18:30)。
精品课件
Treatment
controversy
acceptable degrees
15°~45°
the majority opinion
30°
精品课件
Reduction
❖ Closed reduction ❖ Percutaneous pin reduction ❖ Open recuction
精品课件
Closed reduction
30 ° ～60° ＞60°
精品课件
Percutaneous pin reduction
• Risk :radial nerve injury
精品课件
Open reduction
• controversial • outcomes • incidence of
• In the more common type, a radial neck fracture occurs after a fall with the elbow in extension and valgus, resulting in a fracture with valgus angulation.
Radial Neck Fractures in Children Treated With Elastic Stable Intramedullary Nailing
Ningbo No. 6 hospital Caojin
精品课件
Anatomy
精品课件
Characteristic
Ossification center • begins at four years and it
精品课件
Mechanism
Elbow in extension :more common type
Elbow in flexed:rare type
精品课件
Judet
Classification
精品课件
• Wilkins D
E
精品课件
Diagnosis
• history • symptom • physical sign • radiograph
Complication
Infection elbow stiffness avascular necrosis premature physeal closure
精品课件
Advantage of ESIN
minimally invasive technique stable fixation early mobilization anatomical reduction lower complication rate good-to-excellent results
• In the rare type, the mechanism is a fall with the elbow flexed, which causes temporary and posterior dislocation of the elbow joint.
Case 1
• A 6-year-old boy sustained a Judet type IV fracture of the radial neck. Follow-up radiograph after elastic nailing shows good reduct精io品n课.件The patient had an excellent outcome.
Case 1
• Follow-up radiograph shows fracture union and anatomic reduction.The patient showed an excellent clinical result and re精s品u课m件ed full motion.
• The proximal radial epiphysis is mainly supplied by periosteal blood vessels running from distal to proximal.
精品课件
Mechanism’
• 2 main mechanisms of injury were described in literature.
fuses at the age of 14 in females and 17 in males.
精品课件
Characteristic
• age 4～14years • disease rate: 5% of
elbow injuries or 1% of all injuries
in chindren
精品课件
精品课件
精品课件
精品课件
Anatomy
• By four years of age, the radial head and neck have assumed their adult shape with a physiological angulation of the neck in the anteroposterior (AP) plane of an average of 12.5° laterally and in the lateral plane of an average of 3.5° anteriorly.
complication • causes
additional damage • open reduction
精品课件
K-wires
FFra Baidu bibliotekxation
Elastic nailing
精品课件
Tecnique of elastic nailing
精品课件
精品课件
Postoperative radiograph 精品课件
精品课件
Case 2
• 10-year-old boy sustained a Judet type IV fracture of the radial neck.
精品课件
• Postoperative radiograph shows anatomic reduction.The patient showed a minimal incision.
Treatment
controversy
acceptable degrees
15°~45°
the majority opinion
30°
精品课件
Reduction
❖ Closed reduction ❖ Percutaneous pin reduction ❖ Open recuction
精品课件
Closed reduction
30 ° ～60° ＞60°
精品课件
Percutaneous pin reduction
• Risk :radial nerve injury
精品课件
Open reduction
• controversial • outcomes • incidence of
• In the more common type, a radial neck fracture occurs after a fall with the elbow in extension and valgus, resulting in a fracture with valgus angulation.
Radial Neck Fractures in Children Treated With Elastic Stable Intramedullary Nailing
Ningbo No. 6 hospital Caojin
精品课件
Anatomy
精品课件
Characteristic
Ossification center • begins at four years and it
精品课件
Mechanism
Elbow in extension :more common type
Elbow in flexed:rare type
精品课件
Judet
Classification
精品课件
• Wilkins D
E
精品课件
Diagnosis
• history • symptom • physical sign • radiograph
Complication
Infection elbow stiffness avascular necrosis premature physeal closure
精品课件
Advantage of ESIN
minimally invasive technique stable fixation early mobilization anatomical reduction lower complication rate good-to-excellent results
• In the rare type, the mechanism is a fall with the elbow flexed, which causes temporary and posterior dislocation of the elbow joint.
Case 1
• A 6-year-old boy sustained a Judet type IV fracture of the radial neck. Follow-up radiograph after elastic nailing shows good reduct精io品n课.件The patient had an excellent outcome.
Case 1
• Follow-up radiograph shows fracture union and anatomic reduction.The patient showed an excellent clinical result and re精s品u课m件ed full motion.
• The proximal radial epiphysis is mainly supplied by periosteal blood vessels running from distal to proximal.
精品课件
Mechanism’
• 2 main mechanisms of injury were described in literature.
fuses at the age of 14 in females and 17 in males.
精品课件
Characteristic
• age 4～14years • disease rate: 5% of
elbow injuries or 1% of all injuries
in chindren
精品课件
精品课件
精品课件
精品课件
Anatomy
• By four years of age, the radial head and neck have assumed their adult shape with a physiological angulation of the neck in the anteroposterior (AP) plane of an average of 12.5° laterally and in the lateral plane of an average of 3.5° anteriorly.
complication • causes
additional damage • open reduction
精品课件
K-wires
FFra Baidu bibliotekxation
Elastic nailing
精品课件
Tecnique of elastic nailing
精品课件
精品课件
Postoperative radiograph 精品课件
精品课件
Case 2
• 10-year-old boy sustained a Judet type IV fracture of the radial neck.
精品课件
• Postoperative radiograph shows anatomic reduction.The patient showed a minimal incision.