资源描述
,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,*,桡骨远端骨折,Fracture of Distal End of Radius,1,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,2,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,3,定义桡骨远端骨折是指3cm3,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,=3:1,4,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,5,解剖5,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.,6,解剖 ThemeGallery is a Design Di,解剖,7,解剖7,骨折发病机制及分类,8,骨折发病机制及分类8,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,9,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。,10,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,11,AO分型Add Your TextAdd Your Text,12,12,1,.,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,13,1.Colles骨折TextTextTextAdd Your,2.smith骨折,Concep,t,Add Your Text,Text,Text,Text,Text,Text,Text,1847,年,Smith R,w,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）,14,2.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。,15,3.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。,16,4，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,17,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,18,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,19,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,20,治疗桡侧柱 稳定关节20,讨论,21,讨论21,22,22,Thank You!,23,Thank You!23,
展开阅读全文