CAJ | 학술논문

目的探讨桡骨小头骨折与前臂骨间膜损伤的相关性.方法 2007年9月至2010年6月,前瞻性观察26例桡骨小头骨折患者,男15例,女11例;年龄21～53岁,平均(37.6±7.3)岁.桡骨小头骨折根据Mason分型,Ⅰ型7例,Ⅱ型9例,Ⅲ型10例.所有患者均在1周内行伤侧尺桡骨全长X线、CT及MR检查(包括肘及腕关节),以明确是否合并前臂骨间膜损伤及损伤程度、部位.桡骨小头骨折类型和骨间膜损伤程度的相关性采用Spearman秩相关进行统计学分析.结果 Mason Ⅰ～Ⅲ型桡骨小头骨折均可伴前臂骨间膜损伤,其中7例Mason Ⅰ型骨折中2例、9例MasonⅡ型骨折中4例、10例MasonⅢ型骨折中7例伴前臂骨间膜损伤.桡骨小头骨折与前臂骨间膜损伤呈正相关.桡骨小头骨折程度越严重,前臂骨间膜损伤的发生率越高,损伤程度也越重.Mason Ⅰ型及Ⅱ型骨折中的6例前臂骨间膜损伤均为膜部损伤,而10例MasonⅢ型骨折中的7例前臂骨间膜损伤,3例为中央束断裂,4例为膜部损伤.结论各类型桡骨小头骨折均可伴前臂骨间膜损伤,桡骨小头骨折与前臂骨间膜损伤呈正相关.对于桡骨小头骨折,尤其是MasonⅢ型骨折,建议行前臂MR检查,以明确是否有骨间膜损伤.
목적 탐토뇨골소두골절여전비골간막손상적상관성.방법 2007년9월지2010년6월,전첨성관찰26례뇨골소두골절환자,남15례,녀11례;년령21～53세,평균(37.6±7.3)세.뇨골소두골절근거Mason분형,Ⅰ형7례,Ⅱ형9례,Ⅲ형10례.소유환자균재1주내행상측척뇨골전장X선、CT급MR검사(포괄주급완관절),이명학시부합병전비골간막손상급손상정도、부위.뇨골소두골절류형화골간막손상정도적상관성채용Spearman질상관진행통계학분석.결과 Mason Ⅰ～Ⅲ형뇨골소두골절균가반전비골간막손상,기중7례Mason Ⅰ형골절중2례、9례MasonⅡ형골절중4례、10례MasonⅢ형골절중7례반전비골간막손상.뇨골소두골절여전비골간막손상정정상관.뇨골소두골절정도월엄중,전비골간막손상적발생솔월고,손상정도야월중.Mason Ⅰ형급Ⅱ형골절중적6례전비골간막손상균위막부손상,이10례MasonⅢ형골절중적7례전비골간막손상,3례위중앙속단렬,4례위막부손상.결론 각류형뇨골소두골절균가반전비골간막손상,뇨골소두골절여전비골간막손상정정상관.대우뇨골소두골절,우기시MasonⅢ형골절,건의행전비MR검사,이명학시부유골간막손상.
Objective To evaluate correlation of radial head fracture with forearm interosseous membrane (IOM) injury.Methods Twenty-six patients with radial head fractures were studied prospectively between September 2007 and June 2010.There were 15 men and 11 women,with an average age of 37.6years (range,21-53).According to the Mason classification,there were 7 cases of type Ⅰ,9 cases of type Ⅱ,10 cases of type ⅢL All patients were subjected to forearm X-ray,CT scans and the MR within a week.Clinical and radiographic data of all the patients were collected.Spearman rank correlation statistical analysis was used to analyze the correlation between the radial head fracture and the IOM injury.Results The radial head fractures and IOM injury were directly related.The IOM injury was noted in all type of radial head fracture.The more severity radial head fracture had,the more IOM injury happened.In Mason Ⅰ-Ⅲ fractures,IOM injury was found in 2,4 and 7 cases respectively.The different degree of radial head fracture caused different effects on IOM injury.The severity of radial head fracture was correlated with damage degree of IOM.In Mason type Ⅰ and type Ⅱ fractures,the IOM injury were just partial disruption with distal part of the IOM and did not reach the biomechanically essential central band.In type Ⅲ fractures,central band disruption was found in 3 cases.Conclusion Mason Ⅰ-Ⅲ radial head fractures are associated with forearm IOM injury.There was a positive correlation between radial head fractures and IOM injury.If IOM lesions are suspected,magnetic resonance imaging should be performed,especially Mason Ⅲ fractures.