急诊:腕关节及手平片--临床影像示例

2021-12-01 花人青 熊猫放射

一文了解!

腕关节正常解剖

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腕骨(掌侧位):A=舟骨,B=月骨,C=三角骨,D=豌豆骨,E=钩状骨,F=头状骨,G=小多角骨,H=大多角骨。

 

 


 

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Colles骨折(正位):发生在桡骨远侧干骺端,向背侧移位,长度缩短。在伸展位跌倒损伤中最为常见。桡骨头短缩,桡骨尺骨腕关节面正常连线破坏。

 

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Colles骨折(侧位):向背侧移位,在侧位片上非常明显。完全复位需要恢复对位对线。

 


 

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Smith骨折:也称“反colles骨折”,桡骨远端骨折,手向掌侧移位。常因跌倒时腕关节掌屈,手背着地。常最终需要手术复位。侧位:有时被称作“花园铲样”畸形,侧位片上很容易与更多见的colles骨折相鉴别。

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20. 舟骨骨折:骨折近侧部易发生缺血性坏死,因为舟骨的血供来自桡动脉的远端分支。

 


 

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21. 舟月骨分离:又称腕舟骨旋转性半脱位、舟月不稳定,是临床上最常见的一种腕关节不稳定形式。舟骨旋转、分离。舟月骨间隙增宽,大于4mm为异常。

 


 

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22. 月骨脱位(正位):月骨本身脱离与桡骨和其他腕骨的正常毗邻关系而移位。腕关节最常见的脱位,常见于伸展位跌倒损伤。月骨向掌侧移位、成角。

 

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23. 月骨脱位(侧位):月骨向掌侧脱位、倾斜。

 

 


 

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24.月骨周围脱位(正位):指月骨和桡骨的关系正常,周围其他腕骨向背侧脱位。腕骨弧线中断,头状骨与月骨、桡骨与舟骨投影重叠加重。可增加腕管内压,导致正中神经受压、桡侧3个半手指感觉异常。

 

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25.月骨周围脱位(侧位):月骨与桡骨头对齐,远侧的头状骨明显移位。

 

 


 

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26. 第五掌骨骨折(正位):第五掌骨颈部骨折,也称作拳击手骨折。

 

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27. 第五掌骨骨折(侧位):能很好的显示骨折断端成角的程度,一般认为成角大于30°需要复位。

 

 


 

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28.指端粉碎性骨折:挤压伤常导致远节指骨粉碎性骨折。评估有无开放骨折、甲下血肿及伴随的加床损伤很重要。

与短管状的近、中节指骨相比,末节指骨最明显的解剖特征在于其远端膨大的铲状粗隆(tuft),称为甲粗隆。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1189585, encodeId=82cd1189585cf, content=片子略少, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=986b6157303, createdName=筱筱烟雨, createdTime=Tue Feb 01 20:33:00 CST 2022, time=2022-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1555599, encodeId=e298155559931, content=<a href='/topic/show?id=68fa8538e2c' target=_blank style='color:#2F92EE;'>#腕关节#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85387, encryptionId=68fa8538e2c, topicName=腕关节)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fdec14632485, createdName=jxrzshh, createdTime=Fri Dec 03 12:37:19 CST 2021, time=2021-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076106, encodeId=385110e6106fc, content=过300万的肾衰竭患者需要维持透析治, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Thu Dec 02 09:06:07 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076074, encodeId=eb9c10e60749d, content=不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e19e5634404, createdName=ms6000001472690355, createdTime=Thu Dec 02 07:06:29 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076039, encodeId=ff9110e6039cb, content=学习了,感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48c03104743, createdName=baijianjun_qaz, createdTime=Wed Dec 01 22:59:20 CST 2021, time=2021-12-01, status=1, ipAttribution=)]
    2022-02-01 筱筱烟雨

    片子略少

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1189585, encodeId=82cd1189585cf, content=片子略少, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=986b6157303, createdName=筱筱烟雨, createdTime=Tue Feb 01 20:33:00 CST 2022, time=2022-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1555599, encodeId=e298155559931, content=<a href='/topic/show?id=68fa8538e2c' target=_blank style='color:#2F92EE;'>#腕关节#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85387, encryptionId=68fa8538e2c, topicName=腕关节)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fdec14632485, createdName=jxrzshh, createdTime=Fri Dec 03 12:37:19 CST 2021, time=2021-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076106, encodeId=385110e6106fc, content=过300万的肾衰竭患者需要维持透析治, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Thu Dec 02 09:06:07 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076074, encodeId=eb9c10e60749d, content=不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e19e5634404, createdName=ms6000001472690355, createdTime=Thu Dec 02 07:06:29 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076039, encodeId=ff9110e6039cb, content=学习了,感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48c03104743, createdName=baijianjun_qaz, createdTime=Wed Dec 01 22:59:20 CST 2021, time=2021-12-01, status=1, ipAttribution=)]
    2021-12-03 jxrzshh
  3. [GetPortalCommentsPageByObjectIdResponse(id=1189585, encodeId=82cd1189585cf, content=片子略少, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=986b6157303, createdName=筱筱烟雨, createdTime=Tue Feb 01 20:33:00 CST 2022, time=2022-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1555599, encodeId=e298155559931, content=<a href='/topic/show?id=68fa8538e2c' target=_blank style='color:#2F92EE;'>#腕关节#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85387, encryptionId=68fa8538e2c, topicName=腕关节)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fdec14632485, createdName=jxrzshh, createdTime=Fri Dec 03 12:37:19 CST 2021, time=2021-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076106, encodeId=385110e6106fc, content=过300万的肾衰竭患者需要维持透析治, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Thu Dec 02 09:06:07 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076074, encodeId=eb9c10e60749d, content=不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e19e5634404, createdName=ms6000001472690355, createdTime=Thu Dec 02 07:06:29 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076039, encodeId=ff9110e6039cb, content=学习了,感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48c03104743, createdName=baijianjun_qaz, createdTime=Wed Dec 01 22:59:20 CST 2021, time=2021-12-01, status=1, ipAttribution=)]
    2021-12-02 查查佳佳

    过300万的肾衰竭患者需要维持透析治

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1189585, encodeId=82cd1189585cf, content=片子略少, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=986b6157303, createdName=筱筱烟雨, createdTime=Tue Feb 01 20:33:00 CST 2022, time=2022-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1555599, encodeId=e298155559931, content=<a href='/topic/show?id=68fa8538e2c' target=_blank style='color:#2F92EE;'>#腕关节#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85387, encryptionId=68fa8538e2c, topicName=腕关节)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fdec14632485, createdName=jxrzshh, createdTime=Fri Dec 03 12:37:19 CST 2021, time=2021-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076106, encodeId=385110e6106fc, content=过300万的肾衰竭患者需要维持透析治, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Thu Dec 02 09:06:07 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076074, encodeId=eb9c10e60749d, content=不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e19e5634404, createdName=ms6000001472690355, createdTime=Thu Dec 02 07:06:29 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076039, encodeId=ff9110e6039cb, content=学习了,感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48c03104743, createdName=baijianjun_qaz, createdTime=Wed Dec 01 22:59:20 CST 2021, time=2021-12-01, status=1, ipAttribution=)]
    2021-12-02 ms6000001472690355

    不错

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1189585, encodeId=82cd1189585cf, content=片子略少, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=986b6157303, createdName=筱筱烟雨, createdTime=Tue Feb 01 20:33:00 CST 2022, time=2022-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1555599, encodeId=e298155559931, content=<a href='/topic/show?id=68fa8538e2c' target=_blank style='color:#2F92EE;'>#腕关节#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85387, encryptionId=68fa8538e2c, topicName=腕关节)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fdec14632485, createdName=jxrzshh, createdTime=Fri Dec 03 12:37:19 CST 2021, time=2021-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076106, encodeId=385110e6106fc, content=过300万的肾衰竭患者需要维持透析治, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Thu Dec 02 09:06:07 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076074, encodeId=eb9c10e60749d, content=不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e19e5634404, createdName=ms6000001472690355, createdTime=Thu Dec 02 07:06:29 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076039, encodeId=ff9110e6039cb, content=学习了,感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48c03104743, createdName=baijianjun_qaz, createdTime=Wed Dec 01 22:59:20 CST 2021, time=2021-12-01, status=1, ipAttribution=)]
    2021-12-01 baijianjun_qaz

    学习了,感谢

    0

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