中国骨伤2025，Vol.38Issue(12)：1255-1259,5.DOI:10.12200/j.issn.1003-0034.20250517
超声引导下手法整复联合杉树皮小夹板外固定治疗儿童O'Brien Ⅱ型和Ⅲ型桡骨颈骨折
Ultrasound-guided manual reduction combined with external fixation of small splints for the treatment of O'Brien type Ⅱ and Ⅲ radial neck fractures in children
摘要
Abstract
Objective To explore clinical efficacy of ultrasound-guided manual reduction combined with external fixation with small splints of fir bark in treating O'Brien type Ⅱ and Ⅲ radial neck fractures in children.Methods A retrospective anal-ysis was conducted on clinical data of 21 children with type O'Brien Ⅱ and Ⅲ radial neck fractures admitted from June 2023 to December 2024,including 11 boysand 10 girls;aged from 4 to 12 years old with an average of(8.43±1.60)years old;12 pa-tients with O'Brien type Ⅱ and 9 patients with type Ⅲ.All treatments were carried out using ultrasound-guided manual reduc-tion.Ultrasound examination was conducted again to check the quality of fracture reduction after reduction was completed.Af-ter the treatment,external fixation with small splints of fir bark was performed.The success rate of manual reduction and the in-cidence of complications during the process of manual reduction were observed.Postoperative images and post-operative func-tions were evaluated using Metaizeau standard.Results All the children were followed up,and the duration ranged from 3 to 12 months.Closed reduction was successful in 19 children,while 2 children had difficulty in reduction and were transferred to surgical treatment.No related complications such as neurovascular injury occurred.Closed reduction was successful in 19 pa-tients.Postoperative X-ray films showed good alignment and alignment of fractures,and the fracture healing time ranged from 4 to 7 weeks.Metaizeau criteria at 3 months after treatment,17 patients were excellent and 2 good.In the later functional evalua-tion,all 19 patients were rated as excellent,and no obvious elbow joint dysfunction or residual pain occurred.Conclusion Ul-trasound-guided manual reduction could effectively increase success rate of manual reduction for O'Brien type Ⅱ and Ⅲ radial neck fractures in children,and reduce radiation and adverse outcomes.关键词
桡骨颈骨折/儿童/手法整复/夹板/肌骨超声Key words
Radial neck fracture/Child/Manual reduction/Splint/Musculoskeletal ultrasound分类
医药卫生引用本文复制引用
丁权威,应俊,赵瑛..超声引导下手法整复联合杉树皮小夹板外固定治疗儿童O'Brien Ⅱ型和Ⅲ型桡骨颈骨折[J].中国骨伤,2025,38(12):1255-1259,5.基金项目
浙江省杭州市医药卫生科技项目(编号:B20210226) （编号:B20210226）
浙江省杭州市医药卫生科技项目(编号:B20241917) （编号:B20241917）
浙江省自然科学基金项目(编号:LQ22H27003)Hangzhou Medical and Health Technology Project of Zhejiang Province(No.B20210226) （编号:LQ22H27003）
