桡骨远端骨折经典教学课件

单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,单击此处编辑母版标题样式,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,2020/9/14,#,桡骨远端骨折,Fracture of Distal End of Radius,桡骨远端骨折Fracture of Distal,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,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,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,定义桡骨远端骨折是指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,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,解剖,解剖,解剖,尺偏角2,0,25,掌倾角1,0,1,5,ThemeGallery,is a Design Digital Content&Contents mall developed by Guild Design Inc.,解剖 ThemeGallery is a Design Di,解剖,解剖,骨折发病机制及分类,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,骨折发病机制及分型骨折分类系统是一种有效的工具，它能帮助骨科,骨折发病机制及分类,Text,人名,AO,Text,Text,Cycle name,Add 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。,骨折发病机制及分类Text人名AOTextTextCyc,AO,分型,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Text,A,不涉及关节面,B,部分关节面骨折,C,完全关节面骨折,AO分型Add Your TextAdd Your Text,桡骨远端骨折经典教学课件,1,.,Colles,骨折,Text,Text,Text,Add Your,Title Text,Text 1,Text 2,Text 3,Text 4,Text 5,Add Your,Title Text,Text 1,Text 2,Text 3,Text 4,Text 5,Text,Text,1814年Abraham 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,1.Colles骨折TextTextTextAdd Your,2,.,smith,骨折,Concep,t,Add Your Text,Text,Text,Text,Text,Text,Text,1847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）,2.smith骨折ConceptAdd Your TextT,3,.,barton,骨折,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Add Your Text,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。,3.barton骨折Add Your TextAdd You,4，,chauffeur,骨折,Concept,Concept,concept,Concept,1910 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。,4，chauffeur骨折ConceptConceptcon,A,1,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,2,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,3,ThemeGallery 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,A1ThemeGallery is a Design Dig,B,Your Text,Your Text,Your Text,Your Text,Your Text,Your Text,Your Text,Your Text,2001,2002,2003,2004,B1：,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,BYour TextYour TextYour TextYo,C,Title,ThemeGallery,is a Design Digital Content&Contents mall developed by Guild Design Inc.,Title,ThemeGallery,is a Design Digital Content&Contents mall developed by Guild Design Inc.,Title,ThemeGallery,is a Design Digital Content&Contents mall developed by Guild Design Inc.,C1：关节面,、,干骺端简单骨,折,C2：关节面简单，干,骺,端粉碎,C3：关节面粉碎,CTitleThemeGallery is a Design,治疗,桡侧柱 稳定关节,中柱 屈伸关节,尺侧柱 旋转关节,治疗桡侧柱 稳定关节,讨论,讨论,桡骨远端骨折经典教学课件,经常,不断地学习,你就什么都知道。你知道得越多,你就越有,力量,Study Constantly,And You Will Know Everything.The More You Know,The More Powerful You Will,Be,写,在最后,经常不断地学习,你就什么都知道。你知道得越多,你就越有力量写,Thank,You,在别人的演说中思考,，,在自己的故事里成长,Thinking,In Other,PeopleS Speeches,，,Growing,Up In Your Own,Story,讲师,：,XXXXXX,XX,年,XX,月,XX,日,Thank You,