骨科英文书籍精读（124）｜青年粉碎性桡骨关节内骨折

---

COMMINUTED INTRA-ARTICULAR FRACTURES IN YOUNG ADULTS

In the young adult, a comminuted intra-articular fracture is a high energy injury. A poor outcome will result unless intra-articular congruity, fracture alignment and length are restored and movements started as soon as possible. For these patients a much higher standard must be set than would be accepted for the typical osteoporotic fracture. In addition to the usual posteroanterior and lateral x-rays, oblique views and often CT scans are useful to show the fragment alignment.

The simplest option is a manipulation and cast. If the anatomy is not restored, then an open reduction may be necessary. The medial complex must be anatomically reduced, which may require open reduction through dorsal and palmar approaches and a combination of wires, plates, screws and bone grafts.

---from 《Apley’s System of Orthopaedics and Fractures》

---

重点词汇整理：

congruity /kənˈɡruːəti/n. 适合，调和；一致；全等

dorsal and palmar背和手掌

---

百度翻译：

年轻人关节内粉碎性骨折

在年轻人中，粉碎性关节内骨折是一种高能量损伤。除非关节内的一致性、骨折的排列和长度得到恢复，并尽快开始活动，否则将导致不良的结果。对于这些患者，必须制定一个比通常接受的骨质疏松性骨折更高的标准。除了常规的前后侧位x光片外，斜视和CT扫描也有助于显示碎片的排列。

这是最简单的选择。如果不需要解剖复位，则可以进行切开复位。内侧复合体必须解剖复位，这可能需要通过背侧和手掌入路切开复位，以及钢丝、钢板、螺钉和骨移植。

---