Title213例肱骨近端骨折的Neer分型
Other TitlesNeer classification of 213 cases of proximal humeral fracture
Authors邓磊
白露
张培训
杨明
姜保国
张殿英
付中国
Affiliation北京大学人民医院创伤骨科,100044
Keywords肱骨骨折,近端
Neer分型
临床应用
Humeral fractures,proximal
Neer classification
Application
Issue Date2011
Publisher中华创伤骨科杂志
Citation中华创伤骨科杂志.2011,13,(4),324-327.
Abstract目的 探讨Neer分型的临床应用.方法 对自2003年3月至2010年7月我科收治的213例肱骨近端骨折患者的资料进行分析.根据术前X线片进行Neer分型,并与原始诊断对比,有疑问的病例通过讨论得到统一结论.结果 213例骨折中,有65例(30.5%)两部分外科颈骨折(含骨折脱位),51例(23.9%)两部分大结节骨折(含骨折脱位),1例(0.5%)两部分解剖颈骨折,40例(18.8%)三部分外科颈大结节骨折(含骨折脱位),33例(15.5%)典型四部分骨折(含骨折脱位),16例(7.5%)外展嵌插型四部分骨折,5例(2.3%)头劈裂骨折和2例(0.9%)头压缩骨折.前后诊断对比发现:对于两部分骨折的诊断,此次阅片与入院时较一致;对于三部分及以上骨折,前后两次阅片差别较大.结论 严格按照Neer分型的定义,并借助特殊影像学方法,绝大多数骨折可以很好地进行Neer分型.
Objective To discuss application and limitation of Neer classification of proximal humeral fractures (PHF) in clinic. Methods We reviewed the clinical data of 213 PHF patients who had been treated in our department between March 2003 and July 2010.Using Neer classification system,we reclassified the fractures and compared with the original Neer classification results according to the radiographic images taken just before operation.For difficult cases,consensus was reached after discussion. Results Of the total cases,there were 65 (30.5%) two-part surgical neck fractures,51 (23.9%) two-part great tuberosity fractures and one (0.5%) two-part anatomical neck fracture,40 (18.8%) three-part fractures involving the greater tuberosity and the surgical neck,33 (15.5%) four-part fractures,and 16 (7.5%) four-part valgus-impacted fractures,5 (2.3% )head-split fractures and 2 (0.9% ) head-compression fractures.Comparison of the Neer classifications revealed that for two-part fractures the agreement between the 2 diagnoses was high and that for three-above-part fractures there was great difference between the 2 diagnoses. Conclusion With proper aid of radiographic images,Neer classification can result in a precise diagnosis of most fractures of proximal humerus but not in all.
URIhttp://hdl.handle.net/20.500.11897/133066
ISSN1671-7600
DOI10.3760/cma.j.issn.1671-7600.2011.04.006
Indexed中文核心期刊要目总览(PKU)
中国科技核心期刊(ISTIC)
中国科学引文数据库(CSCD)
Appears in Collections:人民医院

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