桡骨远端骨折经典教学知识

1、 桡骨远端骨折Fracture of Distal End of Radius目录1. 定义及流行病学2.桡骨解剖特点3.骨折发病机制及分型 4. 治疗5. 讨论定义桡骨远端骨折是指距桡骨远端关节面3cm以内的骨折骨松质与骨密质交界处，解剖薄弱，骨折高发。3cm流行病学特征发病率：人类全身最常见的骨折,其发病率约占急诊骨折病人的17 %种族：无人种差异年龄：双峰分布 5-14岁 关节内骨折 60-69岁 关节外骨折性别：老年人 男:女=1:4 青春期：男:女=3 :1解剖解剖 尺偏角2025 掌倾角1015 ThemeGallery is a Design Digital Content &

2、Contents mall developed by Guild Design Inc.解剖骨折发病机制及分类骨折发病机制及分型骨折分类系统是一种有效的工具，它能帮助骨科医生为各种特定的骨折给出适当的治疗方案；同时也有助于对疾病的预后作出合理的判断-Albert H. Burstein, PhD, Deputy Editor for Research, Journal of Bone and Joint Surgery 骨折发病机制及分类Text人名AOTextTextCycle nameAdd Your Text桡骨远端骨折1.桡骨远端骨折的分类方法很多，但几乎所有的分类都是以受伤机制和骨折

3、形态为依据，没有哪一种分类方法能包括所有的骨折情况。2.临床最常用的分类方法有以人名命名的方法和AO分类方法。AO分型Add Your TextAdd Your TextAdd Your TextAdd Your TextAdd Your TextAdd Your TextTextA不涉及关节面B部分关节面骨折C完全关节面骨折1.Colles骨折TextTextTextAdd YourTitle TextText 1Text 2Text 3Text 4Text 5Add YourTitle TextText 1Text 2Text 3Text 4Text 5TextText1814年Abrah

4、am Colles首先详细描述此类骨折。约占所有骨折的6.7特点：远侧骨折端向背侧倾斜，前倾角减小2.smith骨折ConceptAdd Your TextTextTextTextTextTextText1847年Smith Rw详细描述了桡骨远端骨折的另一种类型，即反colles骨折，约占全身骨折的O.1，少。特点：远折端向掌侧移位，合并下尺桡关节脱位，（掌倾角加大）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描述一种桡骨远端涉及关节面的骨折并且伴腕关节脱位。较少见。4，chauffeur骨折ConceptConceptconceptConcept1910 年Chauffeur最早提出特点：桡骨茎突孤立性骨折，骨折不移位，但多伴舟月韧带损伤。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：孤立的尺骨远端骨折A2：桡骨远端简单骨折，无粉碎、无嵌插A3：桡骨远端骨折，粉碎、嵌插BYour TextYour TextYour TextYour TextYour TextYour TextYour TextYour Text2001200220032004B1：桡骨远端矢状面骨折B2：桡骨远端背侧缘骨折B3：桡骨远端掌侧缘骨折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