[1]姜自伟,欧阳崇志,黄枫,等.肱骨近端骨折改良Neer分型的四部评分法[J].中医正骨,2015,27(09):64-66.
点击复制

肱骨近端骨折改良Neer分型的四部评分法()
分享到:

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年09期
页码:
64-66
栏目:
学术探讨
出版日期:
2015-09-30

文章信息/Info

作者:
姜自伟欧阳崇志黄枫郑晓辉劳永生
广州中医药大学第一附属医院,广东 广州 510405
关键词:
肱骨骨折 肩骨折 Neer分型 四部评分法
摘要:
Neer分型是常用的肱骨近端骨折分型方法,可以指导医生准确地判断和评估预后,指导选择合理的治疗方法。但该方法是以骨折部位、移位程度和骨折的病理解剖为依据而形成的分型系统,未考虑血供、骨折稳定性等因素,在临床使用中也存在一些不足。本文从Neer分型的内涵、不足及四部评分法的计算方法等几个方面对肱骨近端骨折改良Neer分型的四部评分法进行了阐述。

参考文献/References:

[1] Lind T,Krøner K,Jensen J.The epidemiology of fractures of the proximal humerus[J].Arch Orthop Trauma Surg,1989,108(5):285-287.
[2] Court-Brown CM,Caesar B.Epidemiology of adult fractures:A review[J].Injury,2006,37(8):691-697.
[3] Mckoy BE,Bensen CV,Hartsock LA.Fractures about the shoulder:conservative management[J].Orthop Clin North Am,2000,31(2):205-216.
[4] Baron JA,Barrett JA,Karagas MR.The epidemiology of peripheral fractures[J].Bone,1996,18(3 Suppl):209S-213S.
[5] Palvanen M,Kannus P,Niemi S,et al.Update in the epidemiology of proximal humeral fractures[J].Clin Orthop Relat Res,2006,442:87-92.
[6] Robinson BC,Athwal GS,Sanchez-Sotelo J,et al.Classification and imaging of proximal humerus fractures[J].Orthop Clin North Am,2008,39(4):393-403.
[7] Neer CS.Displaced proximal humeral fractures.I.Classification and evaluation[J].J Bone Joint Surg Am,1970,52(6):1077-1089.
[8] Neer CS.Four-segment classificatiton of displaced proximal humeral fractures[J].Instr Course Lect,1975,24(1):160-168.
[9] Tamai K,Ishige N,Kuroda S,et al.Four-segment classification of proximal humeral fractures revisited:a multicenter study on 509 cases[J].J Shoulder Elbow Surg,2009,18(6):845-850.
[10] Jakob RP,Miniaci A,Anson PS,et al.Four-part valgus impacted fractures of the proximal humerus[J].J Bone Joint Surg Br,1991,73(2):295-298.
[11] Fjalestad T,Hole MØ.Displaced proximal humeral fractures:operative versus non-operative treatment-a 2-year extension of a randomized controlled trial[J].Eur J Orthop Surg Traumatol,2014,24(7):1067-1073.
[12] Maier D,Jaeger M,Izadpanah K,et al.Proximal humeral fracture treatment in adults[J].J Bone Joint Surg Am,2014,96(3):251-261.
[13] Tingart M,Bäthis H,Bouillon B,et al.The displaced proximal humeral fracture:is there evidence for therapeutic concepts?[J].Chirurg,2001,72(11):1284-1291.
[14] Compito CA,Self EB,Bigliani LU.Arthroplasty and acute shoulder trauma. Reasons for success and failure[J].Clin Orthop Relat Res,1994,307(37):27-36.
[15] 陈康乐,郑康伟,陈凯.人工肱骨头置换术治疗肱骨近端Neer四部分骨折[J].中医正骨,2014,26(6):57-59.

相似文献/References:

[1]朱峰,宋相建,吴蔚,等.手法复位经皮克氏针内固定治疗 儿童闭合性肱骨远端全骨骺分离[J].中医正骨,2015,27(11):51.
[2]沈海,刘昕,彭玉兰,等.复位架牵引下手法复位经皮穿针内固定治疗 儿童肱骨髁上骨折的临床研究[J].中医正骨,2015,27(10):1.
 SHEN Hai,LIU Xin,PENG Yulan,et al.Clinical study on reduction frame traction combined with manipulative reduction and percutaneous Kirschner wire internal fixation for treatment of humeral supracondylar fractures in children[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):1.
[3]唐剑邦,吴宇峰,高大伟,等.切开复位肱骨近端锁定钢板内固定治疗 陈旧性肩关节后脱位合并肱骨近端骨折[J].中医正骨,2015,27(10):49.
[4]黄杨,王昌兴,邹阳.AO钛制弹性髓内钉内固定与切开复位钢板内固定治疗 小儿肱骨干中下段骨折的比较研究[J].中医正骨,2015,27(07):22.
 HUNAG Yang,WANG Changxing,ZOU Yang.A comparative study of AO titanium elastic stable intramedullary nail internal fixation versus open reduction plate osteosynthesis for the treatment of mid-distal humeral fractures in children[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):22.
[5]刘昕,邓志强,叶家军.大龄儿童肱骨外髁陈旧性骨折不愈合继发肘外翻畸形的 分期手术治疗[J].中医正骨,2015,27(07):55.
[6]江涛,江林,史俊德.逆转推压法复位克氏针内固定治疗小儿肱骨外髁Ⅲ型骨折[J].中医正骨,2015,27(12):60.
[7]王海敏,汤志刚,诸葛天瑜,等.桥接组合式内固定系统固定治疗肱骨远端骨折[J].中医正骨,2015,27(12):63.
[8]蒋健,杨晓.尺侧小切口复位结合经皮交叉克氏针内固定 治疗儿童肱骨髁上骨折[J].中医正骨,2015,27(02):60.
[9]彭玉兰,周英,王英.分步手法复位肘关节外翻位固定联合外用中药治疗 婴幼儿肱骨髁上骨折[J].中医正骨,2015,27(04):56.
[10]曹进,胡珊珊,郑华江,等.闭合复位弹性髓内钉内固定与切开复位锁定加压钢板 内固定治疗青少年肱骨干骨折的疗效比较[J].中医正骨,2015,27(01):9.
 CAO Jin,HU Shanshan,ZHENG Huajiang,et al.A clinical comparison of closed reduction and elastic stable intramedullary nail internal fixation versus open reduction and locking compression plate internal fixation for treatment of humeral shaft fractures in adolescents[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):9.
[11]钱平康,徐锋,孙斌峰,等.肱骨近端内锁定系统固定结合植骨治疗肱骨近端骨折[J].中医正骨,2015,27(09):36.
[12]余斌峰,王伟良,林锡鹏.加长型肱骨近端内固定锁定系统治疗肱骨干骨折 合并同侧肱骨近端骨折[J].中医正骨,2015,27(08):23.
[13]孙旗,姜孟家,王淑斌,等.针刺疗法预防肱骨近端骨折内固定术后肩关节功能障碍的临床研究[J].中医正骨,2016,28(04):29.
 SUN Qi,JIANG Mengjia,WANG Shubin,et al.A clinical study of acupuncture therapy for prevention of shoulder dysfunction after internal fixation of proximal humeral fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(09):29.
[14]李卫国,孙献武,谭训香,等.闭合复位内外固定结合中医康复治疗肱骨近端骨折的临床研究[J].中医正骨,2016,28(05):1.
 LI Weiguo,SUN Xianwu,TAN Xunxiang,et al.Clinical study on closed reduction and internal & external fixation combined with TCM rehabilitation in the treatment of proximal humeral fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(09):1.
[15]戴喜安,梁卫东,曾志奎,等.3D打印技术辅助下切开复位跟骨锁定钢板内固定治疗劈裂型肱骨大结节骨折[J].中医正骨,2022,34(06):69.

备注/Memo

备注/Memo:
2014-12-19收稿 2015-01-16修回
基金项目:2013年全国名老中医药专家传承工作室建设项目
通讯作者:黄枫 E-mail:13602730355@139.com
更新日期/Last Update: 2015-09-30