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肘关节“恐怖三联征”的解剖、治疗及其命名合理性的探讨 被引量：14

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摘要 肘关节＂恐怖三联征＂（terrible triad of the elbow）是由高能冲击造成的肘关节多发骨折伴脱位的复合损伤.20世纪初,对肘关节＂恐怖三联征＂多采取保守治疗,一般很难维持肘关节稳定性,并有再脱位的倾向,预后常不满意,故被冠以＂恐怖＂二字[1].目前,肘关节＂恐怖三联征＂几乎均采取积极的手术治疗,并且随着手术技术的改进和治疗的规范化和程式化,其预后的优良率逐步提高,达到70％～ 90％[2].另外,对于肘关节＂恐怖三联征＂这一名称,无论医生还是患者均会产生疑问：这种疾病到底恐怖在哪,有多恐怖,能不能治？为了解答这些疑问,本文从肘关节的基础解剖出发,总结＂恐怖三联征＂的概念、分型及治疗原则,分析其预后情况,最终看看这一命名是否合理.
作者 肖刻 张嘉 李涛 董玉雷 翁习生
机构地区 中国医学科学院北京协和医学院北京协和医院骨科
出处 《中华骨科杂志》 CAS CSCD 北大核心 2015年第7期781-786,共6页 Chinese Journal of Orthopaedics
关键词 肘关节稳定性 恐怖三联征 保守治疗 解剖 理性 复合损伤 多发骨折 手术治疗
分类号 R683.41 [医药卫生—骨科学] R684.7 [医药卫生—骨科学]
  • 相关文献

参考文献45

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二级参考文献78

  • 1张世民,周家钤,俞光荣.肘关节严重损伤三联征[J].中国矫形外科杂志,2005,13(10):782-785. 被引量：45
  • 2蒋协远,李庭,张力丹,公茂琪,刘兴华,张伯松,王满宜,荣国威.人工桡骨头置换治疗肘关节不稳定的桡骨头粉碎性骨折[J].中华骨科杂志,2005,25(8):467-471. 被引量：56
  • 3梅国华,姜佩珠,范存义,蔡培华,曾炳芳.桡骨小头假体置换治疗桡骨小头骨折[J].中华创伤骨科杂志,2006,8(2):131-134. 被引量：24
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共引文献113

同被引文献93

  • 1刘永浩.CT三维重建对肘关节恐怖三联征的术前诊断优势[J].中国血液流变学杂志,2014(1):163-165. 被引量：1
  • 2张国柱,蒋协远,王满宜,荣国威.成人孟氏骨折脱位分型与预后的关系[J].中华骨科杂志,2006,26(1):13-16. 被引量：13
  • 3Hotchkiss RN.Fractures and dislocations of the elbow.In:RockwoodCA,Green DP,Bucholz RW,et al.Rockwood and Green's fractures in adults.Philadelphia:Lippincott Williams&Wilkins,1996:929-1024.
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引证文献14

二级引证文献64

中华骨科杂志
2015年 第7期

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