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Background: With the proliferation of different fixation screws, there is an increasing trend to recommend early internal fixation of the broken scaphoid een if the fracture is not displaced.

对于轻微移位或未移位的舟骨骨折进行早期内固定,过度治疗的比率会很高,增加了手术并发症发生的几率。

This study did not demonstrate a true long-term benefit of internal fixation, compared with nonoperative treatment, for acute nondisplaced or minimally displaced scaphoid fractures.

结论; 本研究表明,与非手术治疗比较,内固定治疗急性无明显移位或轻度移位的舟骨骨折未取得良好的远期疗效。

Eight patients(2.9%) had postoperative loss of fixation and displacement of the fracture between the time that the intraoperative fluoro- scopic images were made and the time that radiographs were made during the first postoperative visit.

279位患者中,271位在行经皮克氏针固定移位肱骨髁上骨折后顺利愈合。8例(2.9%)发生术后固定丢失,骨折移位,时间在术后马上拍摄X片至首次术后随访之间。

Eight patients(2.9%) had postoperatie loss of fixation and displacement of the fracture between the time that the intraoperatie fluoro- scopic images were made and the time that radiographs were made during the first postoperatie isit.

279位患者中,271位在行经皮克氏针固定移位肱骨髁上骨折后顺利愈合。8例(2.9%)发生术后固定丢失,骨折移位,时间在术后马上拍摄X片至首次术后随访之间。

Outcomes in patients with suprascapular nerve as recipient was significantly better than that in patients with axillary nerve as recipient, So the suprascapular nerve should be selected as the best choice of recipient; And functional deficit occured in upper, middle and lower portions of trapezius after the traditional spinal accessory nerve transfer.

副神经移位治疗臂丛神经损伤恢复肩关节外展功能,修复肩胛上神经的疗效优于修复腋神经,应把移位修复肩胛上神经作为首选;传统锁骨上前入路手术后斜方肌各部功能有明显下降。

Results Followed-up for 25~37 months (average 27.5 months), the fisrt signs of reinnerveation of suprascapular nerve appeared at 5~12 months,average 9.94±3.26 months,that of axillary nerve appeared at 9~15months, average12.60±3.08 months;The results in patients with suprascapular nerve as recipient(upper partial 57.08±21.16°, total 40.71±14.27°) were significantly better than that in patients with axillary nerve as recipient(upper partial 31.25±20.97°, total 18.75±7.50°). And the muscular function in upper, middle and lower portions of trapezius are affected due to nerve transfer.

结果 随访25~37个月(平均27.5个月),来院随访18例;副神经移位修复肩胛上神经术后功能恢复征象最早出现在5~12个月,平均9.94±3.26个月,修复腋神经最早出现在9~15个月,平均12.60±3.08个月;修复肩胛上神经肩外展恢复结果(上臂丛神经损伤57.08±21.16°,全臂丛损伤40.71±14.27°)优于修复腋神经的恢复结果(上臂丛神经损伤31.25±20.97°,全臂丛损伤18.75±7.50°),P.05;副神经移位后斜方肌各部功能丧失明显。

Conclusions]Complex acetabular fractures with displacement should be evaluated by means of 2D rconstruction and three-dimensional multislice spiral CT.However 3D CT is of little practical value in undisplaced acetabular fractures.

结论]对于有移位的髋臼骨折尤其是复杂的骨折,应尽可能行二维及三维CT重建协助完善术前准备,三维CT对无移位的髋臼骨折实用价值不大。

MethodThe medical records of 216patients with undisplaced femoral neck fractures who were primarily treated conservatively from January,2000to January,2004were analyzed.

笔者:黎宁,彭阿钦,曹晶,郭锐,张国山,于金河,耿娟通过股骨颈无移位骨折保守疗治病例的临床查询拜访,分析继发移位及头坏死的发生原因。

The close relationship etween intracapsular condylar fractures and posttraumatic TMJA has been howed in lots of articles. Posttraumatic TMJA mostly happens when seriously displaced fractures have occured together with damaged articular acet, increasing of mandible width and mandibular hypomobility.

研究表明,髁突囊内骨折与之关系密切,特别是当骨折明显移位合并关节面严重损伤、关节盘移位以及下颌骨宽度增加和活动度减小等因素时,更加好发。

objective to sum up the experiences in the diagnosis and the treatment of sternal fracture.methods different treatment approaches were applied to sternal fracture according to whether or not there were fracture shift and complication.results all the 15 patients healed up and left the hospital except that one died from complicated lung contused wound and right main bronchial cracking.conclusion to diagnose sternal fracture is not difficult, but attention should be paid to complicated wound in chest or abdomen.

目的 总结胸骨骨折的诊断与治疗经验。方法依据胸骨骨折无移位、单纯胸骨骨折有移位,胸骨骨折合并有胸腹脏器伤等不同伤情采取不同的处理方法。结果全组15例中除1例合并有广泛肺挫伤、右主支气管破裂死亡者,其余均痊愈出院。结论胸骨骨折诊断不难,但诊断中要注意是否合并胸腹脏器伤。

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