首页|研究测量前脂肪垫与肱骨皮质角度诊断肘关节骨折的意义

研究测量前脂肪垫与肱骨皮质角度诊断肘关节骨折的意义

The significance of measuring the angle between the anterior fat pad and the humeral cortex in diagnosing elbow joint fractures

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目的 研究测量肘关节标准侧位片中前脂肪垫与肱骨皮质间角度,探讨诊断肘关节骨折引起的前脂肪垫征阳性角度的临界值,从而帮助骨科医生确定治疗方案.方法 从CT检查确诊的肘关节外伤引起的骨折与未骨折患者中,各选取X线片侧位中前脂肪垫征阳性患者50例,进行ROC曲线回顾性分析.结果 前脂肪垫与肱骨皮质夹角为15.6°,灵敏度+特异度值最大.讨论前脂肪垫与肱骨皮质夹角≥15.6°为骨折临界值,为基层医院骨科医生治疗提供了清晰、客观的诊断依据.
Objective To Study and measure the angle between the anterior fat pad and the humeral cortex in standard lateral films of the elbow joint,and to explore the critical value for diagnosing the positive angle of the anterior fat pad sign caused by elbow joint fractures,so as to help orthopedic doctors determine treatment plans.Methods Among the patients with fracture and non-fracture caused by elbow trauma diagnosed by CT examination,50 patients with positive anterior fat pad sign in the lateral X-ray films were se-lected for ROC curve retrospective analysis.Results The angle between the anterior fat pad and the humeral cortex was 15.6°,with the highest sensitivity and specificity value.Conclusion The angle between the anterior fat pad and the humeral cortex≥15.6°is the crit-ical value for fractures,which provides a clear and objective diagnostic basis for orthopedic doctors in grassroots hospitals for treatment.

Elbow jointHumerusfractureAnterior fat pad sign

张启华、李渭征、王冬伟、王成伟

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石河子大学第一附属医院放射科,新疆石河子,832008

肘关节 肱骨 骨折 前脂肪垫征

2024

新疆医学
新疆维吾尔自治区医学会

新疆医学

影响因子:0.385
ISSN:1001-5183
年,卷(期):2024.54(5)