骨科英文书籍精读（83）｜肱骨干骨折（4）

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SPECIAL FEATURES IN CHILDREN

Fractures of the humerus are uncommon; in children under 3 years of age the possibility of child abuse should be considered and tactful examination for other injuries performed.

Taking advantage of the robust periosteum and the power of rapid healing in children, the humeral fracture can usually be treated by applying a collar and cuff bandage for 3 or 4 weeks. If there is gross shortening, manipulation may be needed. Older children may require a short plaster splint.

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

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重点词汇整理：

child abuse /'tʃaildəbju:s/虐待儿童，摧残儿童

tactful /ˈtæktfl/adj. 机智的；圆滑的；老练的

collar and cuff bandage 领袖绷带(肩周吊带)

manipulation /məˌnɪpjuˈleɪʃn/n. 操纵；操作；处理；篡改；矫形

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百度翻译：

儿童的特殊表现

肱骨骨折并不常见；在3岁以下的儿童中，应考虑虐待儿童的可能性，并对其他伤害进行巧妙的检查。

利用强大的骨膜和儿童快速愈合的能力，肱骨骨折通常可以通过应用颈圈和袖带绷带治疗3或4周。如果存在严重的缩短，可能需要操纵。年龄较大的儿童可能需要一个短石膏夹板

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