孟氏骨折和盖氏骨折的分类及治疗.ppt

孟氏骨折和盖氏骨折的分类及治疗;孟氏骨折;概述;病因;伸直型?? ;Type I (or extension type) - 60% of cases:? ? - anterior dislocation of radial head (or frx) and fracture of ulnar diaphysis at any level w/ anteriorangulation (usually proximal third); - exam: attempt to palpate radial head (ant, post, or lateral); - PIN palsy is most common in type I frx and may occur in a delayed fashion if the radial head is not promptly reduced ;屈曲型;Type II (flexion type) - 15%? ? ? - posterior or posterolateral dislocation of radial head (or frx);? ? ? - frx of proximal ulnar diaphysis with posterior angulation;? ? ? - posterior