colles-fracture
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骨科专业英语Intertrochanteric fracture 粗隆间骨折Intramscular hematoma 肌间血肿Intrumedullary needleJonalgia 膝痛Kyphoscoliosis 侧后凸Kyphosis 脊柱后凸laminectomy 椎板切除术Lateral meuleouls 外踝lipoma 脂肪瘤Local anesthesia 局麻Lodorsis 脊柱前凸Lower limb (extremuty) 下肢Mc Murrag’s test 麦氏实验Medial malleouls 内踝Metacarpophalangeal joint 掌指关节Metastaluc tumor 转移癌metastatic 转移瘤Metatarsalgia 柘骨痛Metatarsal fracture 跟骨骨折Myelogram 脊髓造影Nifedipine 心痛定Nitroglyccerin 硝酸甘油Numbness 麻木Old fracture 陈旧性骨折Osteoarthritis 骨关节炎Osteochondrdoma 软骨瘤Osteomyelitis 骨髓炎Paralytic scoliosis 麻痹性脊柱侧弯Paraplegia 截瘫Patellar fracture 髌骨骨折Pathologie diagnosis 病理诊断pediculate 椎弓根PercutaneousPhlebothrombosis 下肢静脉血栓Pilon fracture 胫腓骨下端骨折Plaster slab 石膏托Poliomyelitis 脊髓灰质炎Posterior malleolus fracture 后踝骨折Posterior malleolar fracture 后踝骨折Protrusion of intervertebral 腰椎间盘突出Protrusion of intervertebral disc 腰椎间盘突出Prolapsed intervertebral disc 椎间盘脱出Pubic symphysis 耻骨支Pulmanary function 肺功能Pulpous nuclear 髓核Radial head fracture 桡骨头骨折Radius and ulna 尺、桡骨Reduction by leverage 撬拨复位Regular operation 常规手术Resection of the massSacroiliac 骶髂关节Scholiosis 脊柱侧弯Sciatica 坐骨神经痛Sciatica 坐骨神经痛Sequela of poliomyelitis 小儿麻痹(脊髓灰质炎)后遗症Sinus tract 窦道Skin traction 皮牵引Sling(Triangular bandage) 悬吊(三角巾绷带)Spatula 压舌板Spinal stenosis 椎管狭窄Spondylolisthesis 脊柱滑脱Spondylolisthesis of lumber L4-5 L4-5脊柱滑脱Spondytolysis 蛱部裂Staticfixation 静力性固定Stenosis of Spinal Canal 椎管狭窄Stenosis of the lumbar spine 腰椎管狭窄Sublimation/semiluxation 半脱位Subluxation of ankle joint 踝关节半脱位subtrochanteric fracture 粗隆下骨折supracondylar fracture 踝上骨折suture stitch 缝针synovial membrance 滑膜Syringomyelia 脊髓空洞症Taction 触觉Tension band wire 张力带钢丝Tension bond 张力带Tetraplegia / quadriplegia 四肢瘫The fifth metacarple bone 第五掌骨基底骨折Thermesthesia 温度觉Tibia-talus semidislocation 半脱位Tibial fracture 胫骨骨折Tibial plateau fracture 胫骨平台骨折Total knee arthroplasty 全膝置换Total hip arthroplasty 全髋置换Trimalleolar fracture 三踝骨折Urinary incontinence 尿失禁Valgus muscle strength 外翻肌力Veterbera fracture 椎体骨折Ankle: Achilles Tendonitis 跟腱炎Ankle: Ruptured Achilles Tendon 跟腱破裂Ankle: Sprain 踝部扭伤Ankle Fracture 踝部骨折Ankylosing Spondylitis 关节黏连脊椎炎Aseptic Necrosis 无菌的骨疽Back Pain: Approach to Management 怎样处理背痛问题Back Pain: Prevention 预防背痛Baker's Cyst 贝勾氏囊Bones 骨骼的功能Bone Tumors 骨肿瘤Bunions 姆趾黏液囊肿大Carpal tunnel syndrome 腕管综合症Colles Fracture 桡骨下端骨折Compression Fracture of the Vertebrae 脊椎压迫性骨折Dislocation 脱臼Dupuytren Contracture 掌挛缩病Elbow: Golfer's Elbow 高尔夫球肘Elbow: Tennis Elbow 网球肘Fibromyalgia 纤维组织肌痛Flat Foot 扁平足Foot: Hammer Toe 锤状趾Foot: Plantar Fasciitis 足底筋膜炎Foot: Ulcers 脚溃疡Fracture 骨折Fracture: Bones in the Foot 脚部骨折Fracture: Clavicle 锁骨骨折Fracture Types 骨折的种类Frozen Shoulder 凝肩Ganglion 腱鞘囊肿Hand Fracture 手骨折Hand: Tenosynoritis 手部腱鞘滑膜炎Heel Spurs 脚跟骨刺和发炎Herniated Disk 椎间盆后凸Hip: Arthritis of the Hip 髋关节炎Hip and Knee Replacement 髋关节和膝关节置换手术Hip Fracture 髋部骨折Infectious Arthritis 感染性关节炎Joints 关节Knee: Arthritis 膝关节炎Knee: Joint Pain 膝关节痛Knee: Runner's Knee 跑步者膝盖Knee: Torn Ligaments 膝韧带撕裂Knee: Torn Meniscus Cartilage 半月板软骨撕裂Knee Pain: Injury, Degeneration & Arthritis 劳损、退化与膝盖关节炎Knee Pain and Shoes 膝关节痛与鞋子Knee Replacement: Surgery Can Relieve Pain 膝关节置换术:手术舒缓痛楚Kyphosis 脊柱后弯Leg Cramps 小腿抽筋Lumbar Herniated Disc 腰椎盆脱出Mallet Finger 锤状指Morton Neuroma 莫耳通氏神经瘤Muscles 肌肉Muscular Dystrophy 肌肉萎缩症Neck: Osteoarthritis 颈骨性关节炎Neck: Whiplash Injury 撞车引致的颈部扭伤Neck: Wry Neck 颈部僵硬Osteoarthritis 骨关节炎(退化性关节炎) Osteomalacia 软骨病Osteomyelitis 骨髓炎Osteoporosis 骨质疏松症Paget Disease 柏哲德氏病Ribs & Cartilage Inflammation 肋与软骨炎RICE Therapy RICE治疗法Rotator Cuff Injury 旋转肌边创伤Sciatica 坐骨神经痛Scoliosis 脊柱侧凸Scoliosis 脊柱侧弯Shin Splints 胫纤维发炎Shoulder: Dislocation 肩脱位Shoulder: Rotator Cuff Tear 轴转肌撕裂Shoulder: Tendinitis & Caspulitis 肩部腱炎和囊炎Spinal Stenosis脊柱狭窄Swollen Legs, Ankles, or Feet 腿、踝或脚肿胀Tendinitis, Tenosynovitis and Bursitis 腱炎、腱鞘炎和黏液囊炎Trigger Finger 弹机状指Abduction splint 外展石膏Absorbable screws 可吸收螺钉Acetabulum 髋臼Amputation 截肢Analgesic 止痛药Ankle clonus 踝阵挛Ankylosing spondylitis 强直性脊柱炎Annulus 纤维环Arthroscopy 关节镜检查Asteofascial compartment syndrome 骨筋膜室综合症Atrophy of quadriceps femoral 股四头肌萎缩Avascular necrosis ofAvascular necrosis (AVW) 缺血性坏死Bathesthesia 深感觉Bilateral femoral head 双股骨头缺血坏死Bone traction 骨牵引Bowel and bladder dysfunction 二便障碍Brachial plexus anesthesia 臂丛麻醉Bunion 拇囊炎Capitula fibula 腓骨小头Cerclage (骨折端)环扎法Cerclage bandage 环形绷带Cerebral hemorrhage 脑出血Cerebral thrombosis 脑血栓Cervical spondylosis 颈椎病Clavicle fracture 锁骨骨折Closed suction drains 闭式引流Colle’s Fr acture 科雷氏骨折Comminuted fracture of left** 左***粉碎性骨折Comminuted open fracture of talus 距骨的开放粉碎骨折Common peroneal nerve 腓总神经Congenital kyphoscoliosis 先天性侧后凸畸形congenital scoliosis 先天性脊柱侧凸Conscious mind 神志清楚Continuous epidural anesthesia (连)硬外麻Contracture of both 臀肌挛缩Core compression 髓芯减压术Crossed kirschner fixation 交叉固定DAS 动力型髋螺丝钉Debridement 清创Deformity 畸形Defuts of segmentation 分布障碍Decompression 减压Decompression of spinal canal 椎管减压Diastematomyelia 脊髓纵裂Discectomy 椎间盘摘除Discectomy of hemivertebrae 半椎体切除Dislocation 脱位DM 糖尿病Dorsal artery of foot 足背动脉Elastic fixation 弹性固定End vertebra 端椎Extension 伸External fixture 外固定Emergency case 急诊病例Faciotomy 筋膜切除术Femoral neck 股骨颈Femoral neck fracture 股骨颈骨折Figure of 8 bandage 8字绷带Flexion 屈曲Forklike deformity 餐叉样畸形Fracture 骨折Fracture of alner bone 尺骨骨折Fracture of calcaneus 跟骨骨折Fracture of distal phalange 远端趾骨骨折Fracture of distal radius 桡骨远端骨折Fracture of femoral neck 股骨颈骨折Fracture of great tubercle 肱骨大结节骨折of humurusFracture of proximal femor 股骨近端骨折Fracture of phalange 指骨骨折Fracture of radius 桡骨骨折Fracture of the base ofFracture of the scaphoid 舟状骨骨折Fracture of the ulna 尺骨骨折Fracture of ulna ocleranon 尺骨鹰嘴骨折General anesthesia 全麻General surgical 基本外科Gleniod fossa 关节盂Gluteal musclesGreater tuberosity 大结节Helo-pelvis 头颅环-骨盆环Hallux valgus 拇外翻Hallux varus 拇内翻High fever 高热Hilgenreiner’s angle 髋臼指数(acetabular index)Hemopneumothorax 血气胸Humeral head 肱骨头Humeral shaft fracture 肱骨干骨折Hypertrophy of facet 小关节增生肥大Hypoesthesia 感觉减退Ice bag 冰袋In right elbow joint 右肘肿物切除Incomplete paraplegia 不全瘫Injection 肌肉注射Interbody 椎间体Interlocking medullary mailing 带锁髓内针Intermittent claudication 间歇跛行Internal fixation 内固定术Intertrochanteric fracture 粗隆间骨折Intramscular hematoma 肌间血肿Intrumedullary needleJonalgia 膝痛Kyphoscoliosis 侧后凸Kyphosis 脊柱后凸laminectomy 椎板切除术Lateral meuleouls 外踝lipoma 脂肪瘤Local anesthesia 局麻Lodorsis 脊柱前凸Lower limb (extremuty) 下肢Mc Murrag’s test 麦氏实验Medial malleouls 内踝metacarpophalangeal joint 掌指关节metastaluc tumor 转移癌metastatic 转移瘤metatarsalgia 柘骨痛metatarsal fracture 跟骨骨折Myelogram 脊髓造影Nifedipine 心痛定Nitroglyccerin 硝酸甘油Numbness 麻木Old fracture 陈旧性骨折Osteoarthritis 骨关节炎Osteochondrdoma 软骨瘤Osteomyelitis 骨髓炎Paralytic scoliosis 麻痹性脊柱侧弯Paraplegia 截瘫Patellar fracture 髌骨骨折Pathologie diagnosis 病理诊断pediculate 椎弓根PercutaneousPhlebothrombosis 下肢静脉血栓Pilon fracture 胫腓骨下端骨折Plaster slab 石膏托Poliomyelitis 脊髓灰质炎Posterior malleolus fracture 后踝骨折Posterior malleolar fracture 后踝骨折Protrusion of intervertebral 腰椎间盘突出Protrusion of intervertebral disc 腰椎间盘突出Prolapsed intervertebral disc 椎间盘脱出Pubic symphysis 耻骨支Pulmanary function 肺功能Pulpous nuclear 髓核Radial head fracture 桡骨头骨折Radius and ulna 尺、桡骨Reduction by leverage 撬拨复位Regular operation 常规手术Resection of the massSacroiliac 骶髂关节Scholiosis 脊柱侧弯Sciatica 坐骨神经痛Sciatica 坐骨神经痛Sequela of poliomyelitis 小儿麻痹(脊髓灰质炎)后遗症Sinus tract窦道Skin traction 皮牵引Sling(Triangular bandage) 悬吊(三角巾绷带)Spatula 压舌板Spinal stenosis 椎管狭窄Spondylolisthesis 脊柱滑脱Spondylolisthesis of lumber L4-5 L4-5脊柱滑脱Spondytolysis 蛱部裂Staticfixation 静力性固定Stenosis of Spinal Canal 椎管狭窄Stenosis of the lumbar spine 腰椎管狭窄Sublimation/semiluxation 半脱位Subluxation of ankle joint 踝关节半脱位subtrochanteric fracture 粗隆下骨折supracondylar fracture 踝上骨折suture stitch 缝针synovial membrance 滑膜Syringomyelia 脊髓空洞症Taction 触觉Tension band wire 张力带钢丝Tension bond 张力带Tetraplegia / quadriplegia 四肢瘫The fifth metacarple bone 第五掌骨基底骨折Thermesthesia 温度觉Tibia-talus semidislocation 半脱位Tibial fracture 胫骨骨折Tibial plateau fracture 胫骨平台骨折Total knee arthroplasty 全膝置换Total hip arthroplasty 全髋置换Trimalleolar fracture 三踝骨折Urinary incontinence 尿失禁Valgus muscle strength 外翻肌力Veterbera fracture 椎体骨折Abduction splint 外展石膏Absorbable screws 可吸收螺钉Acetabulum 髋臼Amputation 截肢Analgesic 止痛药Ankle clonus 踝阵挛Ankylosing spondylitis 强直性脊柱炎Annulus 纤维环Arthroscopy 关节镜检查Asteofascial compartment syndrome 骨筋膜室综合症Atrophy of quadriceps femoral 股四头肌萎缩Avascular necrosis ofAvascular necrosis (A VW) 缺血性坏死Bathesthesia 深感觉Bilateral femoral head 双股骨头缺血坏死Bone traction 骨牵引Bowel and bladder dysfunction 二便障碍Brachial plexus anesthesia 臂丛麻醉Bunion 拇囊炎Capitula fibula 腓骨小头Cerclage (骨折端)环扎法Cerclage bandage 环形绷带Cerebral hemorrhage 脑出血Cerebral thrombosis 脑血栓Cervical spondylosis 颈椎病Clavicle fracture 锁骨骨折Closed suction drains 闭式引流Colle’s Fracture 科雷氏骨折Comminuted fracture of left** 左***粉碎性骨折Comminuted open fracture of talus 距骨的开放粉碎骨折Common peroneal nerve 腓总神经Congenital kyphoscoliosis 先天性侧后凸畸形congenital scoliosis 先天性脊柱侧凸Conscious mind 神志清楚Continuous epidural anesthesia (连)硬外麻Contracture of both 臀肌挛缩Core compression 髓芯减压术Crossed kirschner fixation 交叉固定DAS 动力型髋螺丝钉Debridement 清创Deformity 畸形Defuts of segmentation 分布障碍Decompression 减压Decompression of spinal canal 椎管减压Diastematomyelia 脊髓纵裂Discectomy 椎间盘摘除Discectomy of hemivertebrae 半椎体切除Dislocation 脱位DM 糖尿病Dorsal artery of foot 足背动脉Elastic fixation 弹性固定End vertebra 端椎Extension 伸External fixture 外固定Emergency case 急诊病例Faciotomy 筋膜切除术Femoral neck 股骨颈Femoral neck fracture 股骨颈骨折Figure of 8 bandage 8字绷带Flexion 屈曲Forklike deformity 餐叉样畸形Fracture 骨折Fracture of alner bone 尺骨骨折Fracture of calcaneus 跟骨骨折Fracture of distal phalange 远端趾骨骨折Fracture of distal radius 桡骨远端骨折Fracture of femoral neck 股骨颈骨折Fracture of great tubercle 肱骨大结节骨折of humurusFracture of proximal femor 股骨近端骨折Fracture of phalange 指骨骨折Fracture of radius 桡骨骨折Fracture of the base ofFracture of the scaphoid 舟状骨骨折Fracture of the ulna 尺骨骨折Fracture of ulna ocleranon 尺骨鹰嘴骨折General anesthesia 全麻General surgical 基本外科Gleniod fossa 关节盂Gluteal musclesGreater tuberosity 大结节Helo-pelvis 头颅环-骨盆环Hallux valgus 拇外翻Hallux varus 拇内翻High fever 高热Hilgenreiner’s angle 髋臼指数(acetabular index)Hemopneumothorax 血气胸Humeral head 肱骨头Humeral shaft fracture 肱骨干骨折Hypertrophy of facet 小关节增生肥大Hypoesthesia 感觉减退Ice bag 冰袋In right elbow joint 右肘肿物切除Incomplete paraplegia 不全瘫Injection 肌肉注射Interbody 椎间体Interlocking medullary mailing 带锁髓内针Intermittent claudication 间歇跛行Internal fixation 内固定术。
2020年雅思词汇:与骨科相关的雅思词汇Ankle: Achilles Tendonitis 跟腱炎Ankle: Ruptured Achilles Tendon 跟腱破裂Ankle: Sprain 踝部扭伤Ankle Fracture 踝部骨折Ankylosing Spondylitis 关节黏连脊椎炎Aseptic Necrosis 无菌的骨疽Back Pain: Approach to Management 怎样处理背痛问题Back Pain: Prevention 预防背痛Baker's Cyst 贝勾氏囊Bones 骨骼的功能Bone Tumors 骨肿瘤Bunions 姆趾黏液囊肿大Carpal tunnel syndrome 腕管综合症Colles Fracture 桡骨下端骨折Compression Fracture of the Vertebrae 脊椎压迫性骨折Dislocation 脱臼Dupuytren Contracture 掌挛缩病Elbow: Golfer's Elbow 高尔夫球肘Elbow: Tennis Elbow 网球肘Fibromyalgia 纤维组织肌痛Flat Foot 扁平足Foot: Hammer Toe 锤状趾Foot: Plantar Fasciitis 足底筋膜炎Foot: Ulcers 脚溃疡Fracture 骨折Fracture: Bones in the Foot 脚部骨折Fracture: Clavicle 锁骨骨折Fracture Types 骨折的种类Frozen Shoulder 凝肩Ganglion 腱鞘囊肿Hand Fracture 手骨折Hand: Tenosynoritis 手部腱鞘滑膜炎Heel Spurs 脚跟骨刺和发炎Herniated Disk 椎间盆后凸Hip: Arthritis of the Hip 髋关节炎Hip and Knee Replacement 髋关节和膝关节置换手术Hip Fracture 髋部骨折Infectious Arthritis 感染性关节炎Joints 关节Knee: Arthritis 膝关节炎Knee: Joint Pain 膝关节痛Knee: Runner's Knee 跑步者膝盖Knee: Torn Ligaments 膝韧带撕裂Knee: Torn Meniscus Cartilage 半月板软骨撕裂Knee Pain: Injury, Degeneration & Arthritis 劳损、退化与膝盖关节炎Knee Pain and Shoes 膝关节痛与鞋子Knee Replacement: Surgery Can Relieve Pain 膝关节置换术:手术舒缓痛楚Kyphosis 脊柱后弯Leg Cramps 小腿抽筋Lumbar Herniated Disc 腰椎盆脱出Mallet Finger 锤状指Morton Neuroma 莫耳通氏神经瘤Muscles 肌肉Muscular Dystrophy 肌肉萎缩症Neck: Osteoarthritis 颈骨性关节炎Neck: Whiplash Injury 撞车引致的颈部扭伤Neck: Wry Neck 颈部僵硬Osteoarthritis 骨关节炎 (退化性关节炎)Osteomalacia 软骨病Osteomyelitis 骨髓炎Osteoporosis 骨质疏松症Paget Disease 柏哲德氏病Ribs & Cartilage Inflammation 肋与软骨炎RICE Therapy RICE治疗法Rotator Cuff Injury 旋转肌边创伤Sciatica 坐骨神经痛Scoliosis 脊柱侧凸Scoliosis 脊柱侧弯Shin Splints 胫纤维发炎Shoulder: Dislocation 肩脱位Shoulder: Rotator Cuff Tear 轴转肌撕裂Shoulder: Tendinitis & Caspulitis 肩部腱炎和囊炎Spinal Stenosis脊柱狭窄Swollen Legs, Ankles, or Feet 腿、踝或脚肿胀Tendinitis, Tenosynovitis and Bursitis 腱炎、腱鞘炎和黏液囊炎Trigger Finger 弹机状指。
Tillaux fracture: Tillaux骨折指胫腓下联合前后韧带撕脱,胫骨附着点骨折,通常指前韧带撕脱骨折,即胫骨前结节撕脱。
Dupuytren骨折即踝部旋转骨折伴下胫腓韧带断裂,包括下胫腓分离和腓骨下端骨折。
jones fracture第五跖骨基地部以远1英寸内的骨折
pilon fracture累及胫距关节面的胫骨远端骨折
rolando fracture第一掌骨基底部腕掌关节内粉碎骨折伴脱位
Bennett fracture第一掌骨基底部腕掌关节内骨折
Chance fracture锥骨的横行骨折(通过锥体、椎弓、椎板)
Batton fracture桡骨远端背侧缘的关节内骨折
Smith fracture桡骨远端干骺端骨折向掌侧移位
Colles fracture桡骨远端干骺端骨折向桡背侧移位
Jefferson骨折是第一颈椎的特殊骨折,纵向负荷作用于C1后弓,引起后弓多发骨折,常有骨折移位。
Monteggia fracture桡骨头脱位合并尺骨骨折
Galeazzi 骨折为桡骨中下1/3骨折伴下尺桡关节分离(半脱位或全脱位),以后将桡骨干骨折或尺桡骨双骨折伴下尺桡关节分离均归为此类。
Colles骨折并发急性腕管综合征临床诊治作者:冯文一来源:《中国当代医药》2010年第07期[摘要] 目的:探讨急性腕管综合征的发病机制、治疗及预防。
方法:对17例患者的临床诊断和治疗进行观察,并综合其他文献资料报导加以分析。
结果:17例患者经治疗后,疼痛症状均缓解,基本治愈。
结论:急性腕管综合征如早期发现、早期诊断、早期治疗,预后较好,一部分人会出现慢性腕管综合征的症状,一般会随骨折愈合而消失。
[关键词] 柯氏骨折;急性腕管综合征;诊治[中图分类号] R683.41[文献标识码]C [文章编号]1674-4721(2010)03(a)-168-02Clinical diagnosis and treatment of Colles fracture combined with acute carpal tunnel syndrome FENG Wenyi(Department of Orthopedic, the People's Hospital of Xichong County, Sichuan Province, Xichong 100029, China)[Abstract] Objective: Acute carpal tunnel syndrome, the pathogenesis, treatment and prevention. Methods: To observe 17 patients with clinical diagnosis and treatment and comprehensive information on other literature reports.Results:17 patients after treatment, the pain symptoms were alleviated and fundamental cure. Conclusion: Acute carpal tunnel syndrome, early detection, early diagnosis, early treatment, the prognosis is better, some people will develop chronic symptoms of carpal tunnel syndrome will normally disappear with the fracture healing.[Key words] Colles fracture;Acute carpal tunnel syndrome;Treatment柯氏(Colles)骨折主要发生于老年人和儿童,其中以老年人多见,尤以女性老年人多见,约占前臂骨折的57%[1]。
Weak up test;;Finkelstein征又称为握拳尺偏试验:患者拇指屈曲握拳,将拇指握于掌心内.然后使腕关节被动尺偏,引起桡骨茎突处明显疼痛为阳性征,主要见于桡骨茎突狭窄性腱鞘炎。
Mills征)又称为伸肌腱牵拉试验:嘱患者肘伸直,握拳、屈腕,前臂旋前,发生肘外侧疼痛为阳性,或患者前臂旋前位,作对抗外力的旋后运动,发生肘外侧疼痛为阳性。
;Brodie脓肿又称布罗迪骨脓肿、骨骺端脓肿:由低毒力细菌感染所致的骨脓肿,好发于长骨干骺端,骨质呈粗糙圆形侵蚀,侵蚀部分充满脓液或结缔组织。
属于局限性骨脓肿。
Codman’s triangle Lasegue’s test;直腿抬高试验,为神经根受刺激的表现。
检查时嘱病人仰卧,两下肢伸直,医师一手置于膝关节上,使下肢保持伸直,另一手将下肢抬起。
正常人可抬高80~90度,如抬高不到70度,即出现由上而下的放射性疼痛,为直腿抬高试验阳性。
见于单纯性坐骨神经痛、腰椎间盘突出或腰骶神经根炎等。
此时将伸直的患肢下落5°,再将足背屈,如出现放散痛,则称为加强试验(Braqard征)阳性。
Charcot’s joint;神经性关节病关节逐渐肿大、不稳、积液,关节可穿出血样液体。
肿胀关节多无疼痛或仅轻微胀痛,关节功能受限不明显。
关节疼痛和功能受限与关节肿胀破坏不一致为本病之特点。
晚期,关节破坏进一步发展,可导致病理性骨折或病理性关节脱位。
Wallerian degeneration;瓦氏变性,又称Wallerian变性(Wallerian degenration)。
是指轴突和髓鞘的分解吸收,以及施万细胞增生等现象。
这一退变过程在神经断裂后即开始,一般在神经伤后8周左右完成。
Otolani’s sign;外展试验(Otolani征)将小孩平卧,屈膝、屈髋90°,医师面向小孩臀部将两手抓住两膝同时外展,正常情况两膝可以放平而触及桌面。
但髋脱位中一侧不能到达90°,往往是65°~70°之间,内收肌明显隆起,称做外展试验阳性。
fracture[ˈfræktʃə]vt.,vi.(使)破裂; (使)断裂词性变化fracture[ˈfræktʃə]n.破裂, 断裂裂痕, 裂缝, 断裂图, 断裂面【医】骨折【矿】断口;【地质】断层crystalline fracture结晶形断口fracture mechanics断裂力学a fracture of the skull 颅骨断裂fracture of roll轧辊表面的裂缝(掉角) fracture section断裂剖面fracture speed裂纹扩展的速度继承用法fracture-dislocationn.骨折脱臼fracture-transitionn.断裂类型转变温度, 断裂过渡温度(脆性破坏开始温度)fracturedadj.断裂的词性变化fracturableadj.fracturaladj.特殊用法axle fracture轴折断, 轴断裂bonded fracture胶结裂缝bright crystalline fracture 亮晶断口brilliant fracture亮断面brittle fracture脆性破裂, 脆性断裂chain fracture断链cleavage fracture解理断裂; 可裂性破坏, 碎裂coarse-grained fracture粗晶断口Colles's fracture科雷司式骨折, 桡骨远端骨折columnar fracture柱状断口comminuted fracture粉碎骨折compound fracture有创骨折concentric fractures【地质】同心破裂conchoidal fracture贝壳状断裂, 贝壳状破裂concussion fracture【地质】冲击破裂conjugated fractures彼此连接的裂缝creep fracture蠕变破坏cup fracture【冶】杯形断口cup-and-cone fracture杯形凹凸断口(塑性金属拉力试验时的断口情况), 锥碗断口delayed fracture滞后断裂ductile fracture形变断裂, 塑性破坏, 塑性断口elastic-plastic fracture弹塑性断裂even fracture细粒状断面, 平断口疲劳断裂, 疲劳断口fibrous fracture 【力】纤维状断裂field fracture粗粒断口fiery fracture粗粒断口fine-grained fracture 细纹裂面, 细晶断口fish-scale fracture 鳞形裂缝frost fracture霜冻裂缝gash fracture【地质】裂缝破裂glassy fracture玻璃状断口gliding fracture韧性断裂grain fracture穿晶断口粒状断口, 粒状破裂, 粗粒断口greenstick fracture【医】绿枝性骨折growth-controlled fracture 控增长断裂half-cupped fracture半杯形断裂hydraulic fracture水力压裂impact fracture冲击破坏intercrystalline fracture 晶间断裂, 沿晶界断裂intergranular fracture 【冶】晶间断裂intracrystalline fracture 晶[粒]内断裂lamellar fracture层片断口laminar fracture成层断裂层状断裂mat fracture无光泽断口melt fracture熔体破坏mixed fracture【力】混合断口needle fracture针状断口non-ductile fracture 无塑性破坏non-plastic fracture 脆性破裂normal fracture正裂pathologicalfracture 病理性骨折pipe fracture管的损坏plane strain fracture 平面应变断裂plastic fracture塑性断口; 塑性断裂porcelain fracture瓷断面Pott's fracture【医】波特骨折progressive fracture扩展裂缝quasi-cleavage fracture准解理断口ragged fracture锯齿状断口release fracture【地质】解压裂隙rosette fracture星状断口, 菊花状断口salt and pepper fracture局部珠光体化断口shear fracture剪破裂; 剪切裂隙, 剪切断口, 斜面断口; 剪切断裂shrinkage fracture收缩裂缝silky fracture丝状断口, 丝状断裂面silvery fracture银白色断面smooth fracture细[晶]粒断裂spiral fracture螺旋状断裂(玻璃管缺陷) splintery fracture粗糙断面sprain fracture【医】扭伤性骨折star fracture(平板玻璃)星形裂纹, 蜘蛛状裂纹subsidiary fracture【地质】次级破裂tension fracture拉裂, 拉断; 伸长破裂tough fracture韧性断口transcrystalline fracture穿晶断口transverse fracture 横向破裂(平板玻璃缺陷) uneven fracture粗糙断面; 不平断面vertical fracture垂直裂缝viscous fracture粘性破坏vitreous fracture玻璃状断面vowel fracture元音裂变woody fracture木纹状断口。
骨科英语词汇Achilles Tendonitis 跟腱炎Ruptured Achilles Tendon 跟腱破裂Ankle Sprain 踝部扭伤Ankle Fracture 踝部骨折Ankylosing Spondylitis 强直性脊柱炎Aseptic Necrosis 无菌性坏死Baker's Cyst 贝克囊肿Bone Tumors 骨肿瘤Carpal tunnel syndrome 腕管综合症Colles Fracture 桡骨下端骨折Compression Fracture of the Vertebrae 脊椎压缩性骨折Dislocation 脱位Tennis Elbow 网球肘Fibromyalgia 纤维组织肌痛Flat Foot 扁平足Hammer Toe 锤状趾Plantar Fasciitis 足底筋膜炎Clavicle Fracture 锁骨骨折Frozen Shoulder 冷冻肩Ganglion 腱鞘囊肿Hand Fracture 手骨折Heel Spurs 脚跟骨刺Herniated Disk 椎间盘突出Arthritis of the Hip 髋关节炎T otal hip replacement全髋关节置换术Total knee replacement全膝关节置换术Femoral neck fracture股骨颈骨折骨折I ntertrochanteric fracture粗隆间骨折Infectious Arthritis 感染性关节炎Knee Arthritis 膝关节炎Meniscus tear 半月板撕裂Mallet Finger 锤状指Morton Neuroma 莫耳通氏神经瘤Muscular Dystrophy 肌肉萎缩症Wry Neck 颈部僵硬Osteoarthritis 骨关节炎(退化性关节炎)Osteomalacia 软骨病Osteomyelitis 骨髓炎Osteoporosis 骨质疏松症Paget Disease Paget氏病Ribs and Cartilage Inflammation 肋与软骨炎Sciatica 坐骨神经痛Kyphosis 脊柱侧弯Scoliosis 脊柱侧弯Shoulder Dislocation 肩脱位Rotator Cuff Tear 肩袖损伤Swollen 肿胀Bursitis 滑囊炎Tenosynovitis 腱鞘炎Trigger Finger 扳机指Acetabulum 髋臼Amputation 截肢Analgesic 止痛药Arthroscopy 关节镜检查Osteofascial compartment syndrome骨筋膜室综合症Avascular necrosis of femoral head 股骨头缺血性坏死Bone traction 骨牵引Bowel and bladder dysfunction 二便障碍Brachial plexus anesthesia 臂丛麻醉Bunion 拇囊炎Cervical spondylosis 颈椎病Common peroneal nerve 腓总神经Congenital kyphoscoliosis 先天性侧后凸畸形Congenital scoliosis 先天性脊柱侧凸Contracture of both 臀肌挛缩Core decompression 髓芯减压术Debridement 清创Decompression of spinal canal 椎管减压Discectomy 椎间盘摘除Discectomy of hemivertebrae 半椎体切除Dorsal artery of foot 足背动脉Extension 伸直External fixture 外固定Faciotomy 筋膜切除术Femoral neck 股骨颈Flexion 屈曲Forklike deformity 餐叉样畸形Fracture of uln a r bone 尺骨骨折Fracture of calcaneus 跟骨骨折Fracture of distal phalange 远端趾骨骨折Fracture of distal radius 桡骨远端骨折Fracture of greater tuberosity of humerus 肱骨大结节骨折Fracture of proximal femur 股骨近端骨折Fracture of phalange 指骨骨折Fracture of radius 桡骨骨折Scapular glenoid fracture肩胛骨骨折Glenoid fossa 关节盂Hallux valgus 拇外翻Hallux varus 拇内翻Humeral head 肱骨头Humeral shaft fracture 肱骨干骨折Immobilization 制动Ice bag 冰袋Intermittent claudication 间歇跛行Intramscular hematoma 肌间血肿Intrumedullary needle 髓内针Kirschner wire 克氏针lipoma 脂肪瘤Mc Murray’s test 麦氏实验Meniscectomy 半月板切除Metacarpophalangeal joint 掌指关节Osteochondroma 软骨瘤Osteomyelitis 骨髓炎Paraplegia 截瘫Patellar fracture 髌骨骨折Plaster slab 石膏托Poliomyelitis 脊髓灰质炎Posterior malleolus fracture 后踝骨折Protrusion of intervertebral disc 腰椎间盘突出Reduction 复位Retinaculum 支持带Revision 翻修Sacroiliac 骶髂关节Sinus tract 窦道Skin traction 皮牵引Spondylolisthesis 脊柱滑脱Stenosis of Spinal Canal 椎管狭窄lumbar spinal stenosis 腰椎管狭窄Subluxation 半脱位subtrochanteric fracture 粗隆下骨折supracondylar fracture 髁上骨折synovial chondromatosis 滑膜软骨瘤病Syringomyelia 脊髓空洞症Tension band 张力带Tibial fracture 胫骨骨折Tibial plateau fracture 胫骨平台骨折Total knee arthroplasty 全膝置换Total hip arthroplasty 全髋置换Trimalleolar fracture 三踝骨折。
COLLES骨折口诀1. 引言COLLES骨折是指尺骨远端的桡侧腕部骨折,是常见的手部骨折之一。
它通常发生在老年人中,特别是女性。
COLLES骨折的正确处理和治疗对于患者的康复至关重要。
为了帮助医务人员更好地理解和处理COLLES骨折,我们编写了以下COLLES骨折口诀。
2. COLLES骨折口诀COLLES骨折口诀采用了首字母缩写法,以帮助记忆和理解。
C - Classification(分类)O - Observation(观察)L - Location(位置)L - Ligament(韧带)E - Extension(伸展)S - Stabilization(稳定性)3. 口诀详解C - Classification(分类)根据COLLES骨折的类型进行分类,主要分为以下几种:1.Extra-articular fracture(关节外骨折):指尺骨远端仅有一处断裂。
2.Intra-articular fracture(关节内骨折):指尺骨远端有两处以上断裂。
O - Observation(观察)通过观察患者的症状和体征来确定COLLES骨折的严重程度和伴随损伤,包括:1.疼痛:患者是否有明显的疼痛。
2.肿胀:受伤部位是否出现肿胀。
3.活动受限:患者是否能够正常活动手腕。
L - Location(位置)根据COLLES骨折的位置进行描述,包括:1.骨折线的方向:水平、倾斜或垂直。
2.骨折线相对于尺骨远端的位置:近端、中段或远端。
L - Ligament(韧带)评估COLLES骨折时应注意相关韧带的损伤情况,主要包括:1.尺侧腕橈关节韧带(scapholunate ligament):检查是否有关节不稳定。
2.三角纵隔韧带(triangular fibrocartilage complex):检查是否有关节不稳定和滑膜损伤。
E - Extension(伸展)评估COLLES骨折时需要确定是否存在伸展位移,即尺侧腕关节面的骨折片是否向腕背方向移位。
临床常见疾病名称英汉对照缩写及简写:Addison病:原发性慢性肾上腺皮质功能减退症Af:心房颤动AF:心房扑动AGN:急性肾小球肾炎AIDS:获得性免疫缺陷综合征(艾滋病)ALL:急性淋巴细胞性白血病Alzheimer病(AD):阿尔茨海默病(老年痴呆症)AML:急性髓细胞性白血病Arnold-Chiari畸形:小脑扁桃体下移畸形(阿-卡畸形) ARDS:急性呼吸窘迫综合征ARF:急性肾衰竭AS:强直性脊柱炎ASD:房间隔缺损AVM:动静脉畸形Binswanger病(BD):皮层下动脉硬化性脑病(SAE)Budd-Chiari Syndrome:布加综合征BPH:良性前列腺增生CCF:颈动脉海绵窦瘘CGN:慢性肾小球肾炎CHD:冠状动脉粥样硬化性心脏病(冠心病)CIN:慢性间质性肾炎CKD:慢性肾脏疾病CLL:慢性淋巴细胞性白血病CML:慢性髓细胞性白血病Colles’fracture:柯莱斯骨折COPD:慢性阻塞性肺疾病CRF:慢性肾衰竭Crohn病:节段性肠炎或肉芽肿性肠炎CTD:结缔组织病DCM:扩张性心肌病DDH:先天性髋关节脱位DIC:弥漫性血管内凝血DM:糖尿病DN:糖尿病肾病Good-Pasture综合征:肺出血-肾炎综合征Graves病(GD):毒性弥漫性甲状腺肿(Basedow病)Fahr’病:特发性家族性脑血管亚铁钙沉着症EH:高血压病(原发性高血压)FNH:局灶性结节增生EP:癫痫HBV-GN:慢性乙型肝炎相关性肾炎HCC:原发性肝细胞癌HCM:肥厚性心肌病HD:霍奇金病HIE:缺氧缺血性脑病HL:霍奇金淋巴瘤HOA:肥大性关节病IBD:炎症性肠病ITP:特发性血小板减少性紫癜JAS:幼年强直性脊柱炎JRA:幼年类风湿性关节炎Kawasaki病:川崎病或MCLS(皮肤粘膜淋巴结综合征) Mirrizzi Syndrome(MS):米利兹综合征Mkulicy Syndrome:米古利兹综合征(慢性无痛性腮腺炎) MM:多发性骨髓瘤MS:多发性硬化MODS:多器官功能不全综合征2Moyamoya disease:脑底异常血管网症(烟雾病)NF:神经纤维瘤病NHD: 非霍奇金病NHL: 非霍奇金淋巴瘤NS:肾病综合征OA:骨性关节炎Paget病:畸形性骨炎PAVM:肺动静脉畸形Parkinson病(PD):帕金森氏病PDA:动脉导管未闭P-J综合征:黏膜黑斑-息肉综合征(黑斑息肉病)PsA:银屑病关节炎PSVT:阵发性室上性心动过速RCC:肾细胞癌RCM:限制性心肌病RHD:风湿性心脏病RS(Reiter综合征):又称反应性关节炎(ReA)SAH:蛛网膜下腔出血SCLC:小细胞肺癌SLE:系统性红斑狼疮SIRS:全身炎症反应综合征SpA:脊柱关节病SPA: 类风湿性脊椎炎SSSS:葡萄球菌烫伤样皮肤综合征或葡萄球菌性烧伤皮肤综合征Sturge-Weber综合征:脑颜面血管瘤病TB:结核病TIA:短暂性脑缺血发作TS:结节性硬化又称Bourneville病(神经皮肤综合症) VSD:室间隔缺损3VT:室性心动过速Wilson病:肝豆状核变性常见检查及手术名称中英文对照:CABG:冠状动脉旁路移植术ESWL:体外冲击波碎石术ENBD:经内镜鼻胆管引流术ERCP:内窥镜逆行胰胆管造影EVL:肝硬化食管静脉曲张出血内镜下套扎治疗EST:内镜下十二指肠乳头括约肌切开术LC:腹腔镜胆囊切除术LS:腹腔镜脾切除术KUB:泌尿系平片(肾、输尿管及膀胱区平片) IVP:静脉肾盂造影术IVU:静脉尿路造影术PBPV:经皮穿刺球囊肺动脉瓣成形术PTC:经皮肝穿刺胆道造影术PTCA:经皮穿刺腔内冠状动脉成形术TCD:经颅多普勒超声4。
【疾病名】柯莱斯骨折【英文名】Colles fracture【缩写】【别名】科利斯骨折;桡骨远端骨折【ICD号】S52.6【概述】柯莱斯骨折(Colles fracture)是指桡骨下端的骨松质骨折,骨折发生在桡骨下端2~3cm范围内的骨松质部位。
为人体最常发生的骨折之一,占所有骨折的10%,以老年人及成年人占多数。
骨折多为粉碎型,关节面可被破坏。
幼年人受到同样暴力可造成桡骨下端骨骺分离。
【流行病学】无相关资料。
【病因】多为间接暴力所致。
【发病机制】多为平地跌倒,手掌撑地、腕关节处于背伸及前臂内旋位时,以致暴力集中于桡骨远端松质骨处而引起骨折。
在此种状态下,骨折远端必然出现向背侧及桡侧的移位。
此时,尺骨茎突可伴有骨折,三角纤维软骨盘亦有可能撕裂(图1)。
【临床表现】患者腕背伸位跌倒,手掌着地后,感腕部剧痛,不敢活动,肿胀尤以局部肿胀明显,有时可见皮下淤血,手指处于半屈曲休息位,不敢握拳,需要健手托扶患手方能减轻些疼痛。
如近侧断端压及正中神经,则有手指麻木等正中神经功能障碍表现。
柯力骨折的典型体征如下。
1.银叉状畸形 骨折远端连同手部向背侧移位,其近侧有凹陷(图2A)。
2.枪刺状畸形 骨折远端连同手部向桡侧移位,中指轴线与桡骨轴线不在同一平面上(图2B)。
3.直尺试验 正常时,将直尺放于腕尺侧,尺骨茎突距直尺在1cm以上,桡骨下端骨折时,尺骨茎突可与直尺接触(图3)4.尺骨茎突与桡骨茎突直线关系 桡骨下端骨折后,尺骨茎突与桡骨茎突几在同一直线上,正常是桡骨茎突比尺骨茎突向远侧多出1~1.5cm(图4)。
骨折分类方法不一,目前被广泛采用的是Frykman的分类。
基于关节面的损伤,下尺桡关节的损伤,尺骨远端有否骨折等,将桡骨远端骨折分为8类。
(1)关节外骨折,无尺骨远端骨折。
(2)关节外骨折,有尺骨远端骨折。
(3)关节内骨折,波及桡腕关节,但无尺骨远端骨折。
(4)关节内骨折,波及桡腕关节,有尺骨远端骨折。
临床常见疾病名称英汉对照缩写及简写临床常见疾病名称英汉对照缩写及简写Addison病:原发性慢性肾上腺皮质功能减退症Af:心房颤动AF:心房扑动AGN:急性肾小球肾炎AIDS:获得性免疫缺陷综合征(艾滋病)ALL:急性淋巴细胞性白血病Alzheimer病(AD):阿尔茨海默病(老年痴呆症) AML:急性髓细胞性白血病Arnold-Chiari畸形:小脑扁桃体下移畸形(阿-卡畸形)ARDS:急性呼吸窘迫综合征ARF:急性肾衰竭AS:强直性脊柱炎ASD:房间隔缺损AM:动静脉畸形Binswanger病(BD):皮层下动脉硬化性脑病(S AE)Budd-Chiari Syndrome:布加综合征BPH:良性前列腺增生CCF:颈动脉海绵窦瘘CGN:慢性肾小球肾炎CHD:冠状动脉粥样硬化性心脏病(冠心病) CIN:慢性间质性肾炎CKD:慢性肾脏疾病CLL:慢性淋巴细胞性白血病CML:慢性髓细胞性白血病Colles’fracture:柯莱斯骨折COPD:慢性阻塞性肺疾病CRF:慢性肾衰竭Crohn病:节段性肠炎或肉芽肿性肠炎CTD:结缔组织病DCM:扩张性心肌病DDH:先天性髋关节脱位DIC:弥漫性血管内凝血DM:糖尿病DN:糖尿病肾病Good-Pasture综合征:肺出血-肾炎综合征Graes病(GD):毒性弥漫性甲状腺肿(Basedow 病)Fahr’病: 特发性家族性脑血管亚铁钙沉着症EH:高血压病(原发性高血压)病)NF:神经纤维瘤病NHD: 非霍奇金病NHL: 非霍奇金淋巴瘤NS:肾病综合征OA:骨性关节炎Paget病:畸形性骨炎PAM:肺动静脉畸形Parkinson病(PD):帕金森氏病PDA:动脉导管未闭PH:肺动脉高压P-J综合征:黏膜黑斑-息肉综合征(黑斑息肉病) PsA:银屑病关节炎PST:阵发性室上性心动过速RCC:肾细胞癌RCM:限制性心肌病RHD:风湿性心脏病RS(Reiter综合征):又称反应性关节炎(ReA) SAH:蛛网膜下腔出血SCLC:小细胞肺癌SLE:系统性红斑狼疮SIRS:全身炎症反应综合征SpA:脊柱关节病SPA: 类风湿性脊椎炎SSSS:葡萄球菌烫伤样皮肤综合征或葡萄球菌性烧伤皮肤综合征Sturge-Weber综合征:脑颜面血管瘤病TB:结核病TIA:短暂性脑缺血发作TS:结节性硬化又称Bourneille病(神经皮肤综合症)SD:室间隔缺损T:室性心动过速Wilson病:肝豆状核变性常见检查及手术名称中英文对照:CABG:冠状动脉旁路移植术ESWL:体外冲击波碎石术ENBD:经内镜鼻胆管引流术ERCP:内窥镜逆行胰胆管造影EL:肝硬化食管静脉曲张出血内镜下套扎治疗EST:内镜下十二指肠乳头括约肌切开术LC:腹腔镜胆囊切除术LS:腹腔镜脾切除术KUB:泌尿系平片(肾、输尿管及膀胱区平片) IP:静脉肾盂造影术IU:静脉尿路造影术PBP:经皮穿刺球囊肺动脉瓣成形术PTC:经皮肝穿刺胆道造影术PTCA:经皮穿刺腔内冠状动脉成形术TCD:经颅多普勒超声呼吸科ARDS 成人呼吸窘迫综合症CAP 社区获得性肺炎COPD 慢性阻塞性肺气肿IPF 特发性肺纤维化HAP 医院获得性肺炎PAP 肺泡蛋白质沉积症PIE 间质肺气肿PTE 肺栓塞肺TB 肺结核PCP 卡式肺囊虫肺炎心内科AVB 房室传导阻滞Af 房颤ASD 房缺AI 主闭AS 主狭ASO 闭塞性动脉硬化AT 房速AMI 急性心梗AP 心绞痛APB 房早BBB 束支传导阻滞CHD冠心病CHF 充血性心衰CF 心衰F3 法三F4 法四IHD 缺血性心脏病PDA 动脉导管未闭PS 肺狭PAT 阵发性房性心动过速MI 心梗MVP 二间瓣脱垂RBBB右束支传导阻滞SSS 病态窦房结综合症SBE 亚急性感染性心内膜炎UA 不稳定性心绞痛VSD 室缺VDH 心脏瓣膜病血液科ALT 成人T细胞白血病AA 再障AIHA 自身免疫性溶血性贫血CLL 慢淋CGN 慢粒DIC 弥漫性血管内凝血ITP过敏性紫殿IDA 缺铁贫HD 霍奇金病PNH 阵发性睡眠性血红蛋白尿MM 多发性骨髓瘤MDS 骨髓增生异常综合症NHL 非霍奇金RAEB 难治性贫血伴原始细胞增多型TIP 血栓性血小板减少性紫殿消化科AIH 自身免疫性肝炎AP 急性胰腺炎DU 十二指肠溃疡ERCP 内镜逆行胰胆管造影术FD 功能性消化不良GU 胃溃疡GERD胃食管反流病HE 肝性脑病IBS 肠易激综合症IBD 炎症性肠病SAP 急性重症胰腺炎UC 溃疡性结肠炎WD 肝豆状核变性内分泌与代谢科DM 糖尿病T2DM 2型糖尿病DR 糖尿病视网膜病变DN 糖尿病肾病DKA 糖尿病酮症酸中毒DLE 盘状红斑狼疮GD 甲亢Graves HNKHC 高渗性非酮症糖尿病昏迷IGT 糖耐量减低IDD 胰岛素依赖性糖尿病IIM 特发性炎症性肌病PKU 苯丙酮尿症MAS或POED 多发性骨纤维结构不良SSc 系统性硬化病SLE 系统性红斑狼疮肾科及其他AD 阿尔海默茨病ARF 急性肾功能不全AIN 急性间质性肾炎AGN 急性肾炎CGN 慢性肾炎CRF 慢性肾功能不全CIN 慢性间质性肾炎HIE 新生儿缺血缺氧性脑病PD 帕金森氏病PEM 蛋白质-热能营养不良PID 盆腔炎SCA 脊髓小脑共济失调MG 重症肌无力RA 类风湿关节炎TIA 短暂性脑缺血发作。
Colles骨折论文:Colles骨折桡骨长度丢失保守疗法石膏、小夹板固定【中文摘要】通过对五种保守固定方法治疗Colles骨折的疗效及影像资料中桡骨长度丢失情况的分析比较,为临床选择恰当的治疗方法提供依据。
方法:采用回顾性研究方法,分析2004年6月-2010年10月哈尔滨市骨伤科医院、潍坊市中医院创伤骨科门诊采用五种固定方法治疗Colles骨折150例病人完整的临床及影像学资料结果,其中A组:手法整复小夹板轻度掌屈尺偏位外固定30例,B组:手法整复桡背侧石膏托掌屈尺偏位外固定30例,C组:石膏夹板中立位固定30例,D组:先夹板后石膏功能位固定30例,E组:先石膏后夹板固定30例。
通过门诊或通讯方式进行随访六个月至七年,平均18个月,最终从影像资料(桡骨长度丢失情况)、术后平均骨折愈合时间、近远期疗效及腕关节功能恢复情况等方面对关节外及关节内粉碎性骨折的不同固定治疗方法进行比较分析。
结果:关节外骨折:五种固定方法桡骨长度丢失≤3.5±0.35mm;平均骨折愈合时间无明显差别;腕关节功能恢复以先夹板后石膏功能位固定组恢复最佳;桡骨长度丢失以单纯小夹板组丢失最多,但总体而言,关节外骨折桡骨长度丢失不明显,且远近期对腕关节功能影响不大。
关节内粉碎性骨折:桡骨长度丢失在6.47±0.35 mm之间,夹板与石膏结合组优于其它组,单纯小夹板组效果最差;远期腕关节功能影响大,关节内粉碎型骨折保守疗法总体疗效不佳。
结论:1.保守疗法适宜于治疗关节外Colles骨折,疗效确切可靠;而不适宜于治疗关节内粉碎性Colles骨折。
2.桡骨长度的丢失源于骨折断端受力不均,骨折间隙的压应力与张应力的不均衡是导致桡骨短缩及骨折畸形愈合的根本原因。
3.Colles骨折整复后第三日桡骨长度丢失较大,至第三周达到最高峰,之后变化不明显,至第四周趋于稳定。
4.先夹板后石膏功能位固定组疗效优于其它组。
【英文摘要】:To explore the biomechanics reasons of the loss of radius length after Colles fracture reduction through comparing the data of the effect and X-ray results by the five different conservative treatments, and to find the factor that may work on the final outcome. Analysis of treatment effete for clinical selection of appropriate treatment methods to provide a basis.Methods:A retrospective study analyzed the complete data of the effect and X-ray results in 150 patients with Colles fracture were measured by the five kind different conservative treatments in 2004,6~2010,10 in Department of Orthopedics Surgery, HaerBin Hospital and Medical University, Weifangshi. One group A:the simple splint external fixation reduction manipulation 30 cases, group B:radial reduction manipulation cast palm deviation of simple plaster external fixator 30 cases, group C:splint-plaster external fixation in A neutral position fixed 30 cases, group D:first after A fixed splinting plaster function 30 cases, E groups:first 30 cases after fixedsplinting gypsum. And through the outpatient or communication follow-up year to seven years, on average, from 18 months and near future, eventually effect and image data (lose), radial length postoperative fracture healing time, fracture average between biomechanics of fracture healing influence and wrist the function recovery of different aspects of comparison and analysis of fixed treatments.Results:Extra-articular fracture:five kinds of radial length fixing methods lost more than<3.5±0.35mm; Average fracture healing time no obvious difference; Wrist function recovered to cast palm radial dorsal deviation of flexor feet of fixed most slow, first after a fixed splinting plaster function of restore optimal; With simple radial length lost little plywood group lost the most, but overall, radial length extra-articular fracture loss is not apparent, and the wrist joint function of far recently little impact. Intra-articular fractures 6.47 lost in radial length:mm, plywood and between plus or minus 0.35 combined group was higher than other groups gypsum, simple small plywood group effect; the worst Long-dated wrist function big influence. Intra-articular crushed conservative therapy of fractures of the overall efficacy not beautiful.Conclusion:1. Conservative treatments suitable for treatment, Colles fracturesextra-articular definite effect and reliable; But disagreesintra-articular fractures comminuted Colles treatment2. Theloss of radial length from disruption stress is uneven and the fracture gaps compressive stress and tensile stress of unbalanced radial is causing the shortening and fracture theroot cause of melanin;3. The third day after Colles fracture reconstructive radial length is larger, to the third week lostafter peak, does not change significantly. To stabilize thefourth week4. First simple splint after a fixed splintingexternal fixation curative effect of gypsum function betterthan other groups.【关键词】Colles骨折桡骨长度丢失保守疗法石膏、小夹板固定【英文关键词】Colles fractures Loss of radial length Conservative therapy Plaster、Splint fixed【目录】保守疗法治疗Colles骨折桡骨长度丢失情况的研究缩略语表4-5中文摘要5-7ABSTRACT7-8前言9-12文献综述12-29 1. 影响腕关节功能恢复的重要因素12-13 2. 桡骨远端骨折的分型13-16 2.1 几种特殊类型的骨折13-15 2.2对公认的分型方法的分析比较15-16 3. 桡骨长度的丢失与两个方面有关16-19 3.1 骨量的丢失16-18 3.2 治疗因素18-19 4. 固定体位19-21 5. Colles骨折的治疗进展21-25 5.1 保守疗法21-22 5.2 手术疗法22-25 6.Ilizarov张力—应力法则25-277. 生物学固定27-29临床研究29-39 1. 一般资料29-34 1.1 研究对象29-30 1.2 病例选择标准30 1.3 治疗方法30-32 1.4 观察指标及疗效评定标准32-34 1.5 统计学处理34 2. 结果34-39 2.1 桡骨长度丢失情况34-35 2.2 近期疗效及平均骨折愈合时间35-36 2.3远期疗效36-39讨论39-46结论46-47致谢47-48参考文献48-54附录54-63个人简历63【采买全文】1.3.9.9.38.8.4.8 1.3.8.1.13.7.2.1 同时提供论文写作一对一辅导和论文发表服务.保过包发.【说明】本文仅为中国学术文献总库合作提供,无涉版权。