20xx年醫(yī)學(xué)專題—前臂骨折-wenkub
2024-11-05 02 本頁(yè)面
【正文】 cial veins that may be intact. The FCR tendon is clearly visible throughout the wound, as is the radial artery in the distal extent of the wound.,FCR,RADIAL ARTERY,第四十四頁(yè)，共一百四十頁(yè)。,AP and lateral views of the both bones fracture of the forearm, demonstrating significant shortening and relatively simple oblique fracture patterns.,第四十頁(yè)，共一百四十頁(yè)。,橈骨干前外側(cè)入路：橈骨干全長(zhǎng) （Henry切口） 橈骨干后側(cè)入路：橈骨干上中部（Thompson切口） 尺骨干(gǔg224。,C2.2 兩段 ，尺骨(chǐgǔ)骨折,第三十六頁(yè)，共一百四十頁(yè)。,C1.2 兩段 橈骨(r225。ogǔ)鍥型，尺骨簡(jiǎn)單骨折,第三十頁(yè)，共一百四十頁(yè)。,B2.3 伴有下尺橈關(guān)節(jié)(guānji233。nzhěng)鍥型,第二十六頁(yè)，共一百四十頁(yè)。n)的鍥型骨折,第二十四頁(yè)，共一百四十頁(yè)。,B1.1 完整(w225。),第二十頁(yè)，共一百四十頁(yè)。i)（孟氏骨折）,第十八頁(yè)，共一百四十頁(yè)。),第十六頁(yè)，共一百四十頁(yè)。,A型 簡(jiǎn)單(jiǎndān)骨折（A1,A2,A3） B型 鍥型骨折 (B1,B2,B3) C型 復(fù)雜骨折 (C1,C2,C3),前臂(qi225。)后區(qū),第十三頁(yè)，共一百四十頁(yè)。nb236。,前臂(qi225。nh242。,前臂(qi225。)前區(qū),第七頁(yè)，共一百四十頁(yè)。)前區(qū),第五頁(yè)，共一百四十頁(yè)。,體表(tǐ biǎo)標(biāo)志,第三頁(yè)，共一百四十頁(yè)。,尺橈骨(r225。前臂(qi225。ogǔ)雙骨折 尺骨單骨折 橈骨單骨折 前臂遠(yuǎn)端骨折,授課(sh242。,體表(tǐ biǎo)標(biāo)志,第四頁(yè)，共一百四十頁(yè)。,第六頁(yè)，共一百四十頁(yè)。,前臂(qi225。nb236。u)穿入旋后肌，在橈骨頭下方5～7CM出穿出該肌，稱為后側(cè)骨間神經(jīng)，走行與前臂肌后群淺、深兩層之間 分短支與長(zhǎng)支,前臂(qi225。nb236。)后區(qū),第十二頁(yè)，共一百四十頁(yè)。,前臂(qi225。nb236。,A1.2 橫型骨折(gǔzh233。,A2.1 斜型骨折(gǔzh233。,A2.3 伴頭下尺橈關(guān)節(jié)脫位(tuō w232。nzhěng)鍥型,第二十三頁(yè)，共一百四十頁(yè)。,B1.3 伴有橈骨頭脫位(tuō w232。,B2.2 碎片(su236。)脫位（蓋氏骨折）,第二十八頁(yè)，共一百四十頁(yè)。,B3.3 尺橈骨(r225。ogǔ)骨折,第三十三頁(yè)，共一百四十頁(yè)。,C2.3 不規(guī)則,第三十七頁(yè)，共一百四十頁(yè)。n)后側(cè)入路：尺骨全長(zhǎng),常用(ch225。,The patient is positioned supine with the arm prepped and draped to just above the elbow and a tourniquet in place. This figure demonstrates the arm held in supination. Note the position of the biceps insertion as well as the palpable tendon of the FCR and radial artery.,BICEPS TENDON,RADIAL ARTERY,FLEXOR CARPI RADIALIS (FCR),第四十一頁(yè)，共一百四十頁(yè)。,A closeup of the distal aspect of the wound demonstrating The radial artery and its venous commtantes.,RADIAL ARTERY AND VENOUS COMMTANTES,第四十五頁(yè)，共一百四十頁(yè)。,PRONATOR,For the proximal dissection, the forearm is brought into supination and the pronator, FDS and FDP are released from the volar aspect of the radius,第四十九頁(yè)，共一百四十頁(yè)。,These figures demonstrate delivery of the distal fragment and a curved curette being used to clean the cortical edge. No cleaning should be performed within the intramedullary canal,as this is healthy tissue and can be useful for the healing process.,第五十三頁(yè)，共一百四十頁(yè)。,第五十七頁(yè)，共一百四十頁(yè)。,The following sequence demonstrates using the offset drill guide to place an eccentrically drilled hole away from the fracture. The screw is placed to the point where it abuts but is not inser
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