肱骨小头与滑车骨折的治疗进展

Progress of treatment for fracture of capitulum humeri and trochlea humeri

肱骨小头和滑车骨折的发生率较低,多为间接传导暴力所致,且常伴有尺、桡侧韧带损伤。骨折的诊断分型、治疗方式和固定物的选择较多。X线、CT、MRI可充分明确诊断。保守治疗易影响肘关节功能,多数学者认为首选切开复位内固定术,但此型复杂的骨折对治疗技术的要求仍是很高。本文依据中外文献报道,就肱骨小头和滑车骨折的诊治策略和治疗建议作一综述。

The incidence of fracture on capitulum humeri and trochlea humeri is low, which is mostly caused by indirect conduction of violence, and often accompanied by injury of ulnar and radialis ligaments. The diagnostic classification, treatment method and choice of fixation are various. It can be fully and clearly diagnosed by X-ray, CT and MRI. Conservative treatment may easily affect the function of elbow joint. Most scholars believe that the preferred method is open reduction and internal fixation. While this complex type of fractures still requires high technology on treatment. This article reviews the diagnosis strategies and treatment suggestion of fracture on capitulum humeri and trochlea humeri based on the reports of Chinese and foreign literatures.