摘要
[目的]肘关节是人体中最易发生脱位的部位之一,年发生率约为0.006%-0.008%,其中49%可合并有骨折。肘关节脱位合并桡骨小头骨折、冠状突骨折这一损伤类型因肘关节解剖结构特殊、治疗困难,即使由富有经验的骨科临床医师进行及时有效的治疗,患者的预后仍不理想,故Hotchkis将这种特定的骨折损伤类型命名为“恐怖三联征”(terrible triad injury,TTI),目前国内外针对此类骨折损伤的研究较有限,选择何种方案来提高术后功能表现仍是一个值得商榷的问题。本文将就肘关节恐怖三联征的解剖、损伤机制、手术治疗、并发症等方面的研究进展作以下综述。
[ Objective] Elbow is among the most vulnerable joints to dislocation,the annual occurrence is around 0.006% -0. 008 % ,49% of which combine with fractures. The typical injury pattern involving dislocation of the elbow, radial head and- coronoid process fracture has had a consistently poor outcome, and the complicated anatomy structure adds to the difficulty of treatment, even managed by experienced orthopedics surgeons. Hotchkis then named this injury pattern as "Terrible triad injury, TYI". Recent researches are relatively limited but have improved our understanding of elbow anatomy and biomechanics along with the pathoanatomy of this injury, series of surgical solutions have been developed but the optimal one remains controversial.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2014年第8期710-714,共5页
Orthopedic Journal of China
基金
国家自然科学基金资助项目(编号:31271031)
上海市卫生系统新一轮优秀人才基金资助项目(编号:XYQ2011032)
关键词
肘关节
恐怖三联征
治疗
elbow, terrible triad injury, treatment