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通过对8年间1520例初诊为桡骨骨折"的病例复习,发现有25例合并有下尺桡关节的损伤,具体如下:明确诊断为盖氏骨折的仅5例,诊断为桡骨骨折合并尺骨远端骺分离者15例,误诊为单纯桡骨骨折而未发现下尺桡关节半脱位者5例。其中共有11例按前臂远端骨折处理,采用肘下石膏,致使复位失败,再移位,需要反复多次整复,结果骨折愈合时,3例位置欠佳,3例仍残留下尺桡关节半脱位。分析治疗上失败的原因多是由于对本病的认识不足或误诊引起。所以,凡遇到桡骨中下段骨折的病例,均应仔细检查下尺桡关节,并投照腕关节真正的侧位X线片,必要时可做CT检查,这样,可减少漏诊和误诊以及治疗上的不当。
By reviewing 1520 first diagnosed radial fractures over a period of 8 years, 25 cases were found to have lesions associated with the lower distal radioulnar joint, as follows: Only 5 cases were diagnosed as Gai’s fractures and the diagnosis was a radial fracture with ulna Fifteen cases of epiphysis were misdiagnosed as simple radial fractures and no subduction of the distal radioulnar joint was found in 5 cases, of which 11 cases were treated with distal forearm fractures and undergone plaster of the elbow, resulting in the failure of reset and then displacement Repeatedly repeated multiple consolidation, the results of fracture healing, poor location in 3 cases, 3 cases still remain radioulnar joint subluxation. Analysis of the reasons for the failure of the treatment is mostly due to lack of understanding of the disease or misdiagnosis. In the case of fractures in the middle and lower radius, the radioulnar joint should be examined carefully and the true lateral radiographs of the wrist should be cast. If necessary, a CT scan can be performed. This can reduce the misdiagnosis and misdiagnosis and the improper treatment .