[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f9jWRhNc3XzTRQScam2I29YIek5nFvZjRRkqkDaMVpZU":8},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":65},200,"操作成功",{"id":12,"name":13,"describes":6,"symptoms":6,"checkup":6,"treatment":6,"seoTitle":14,"seoKeywords":15,"seoDescription":16,"coverVertical":6,"coverAcross":6,"introduceClassifications":17,"departments":63},5199,"桡骨小头骨骺分离"," 桡骨小头骨骺分离治疗指南 | 症状、原因及康复建议\n"," 桡骨小头骨骺分离, 骨骺分离, 桡骨小头损伤, 骨骺损伤治疗, 桡骨小头康复, 儿童骨骺损伤, 骨骺裂解, 骨骺分离康复建议\n"," 了解桡骨小头骨骺分离的症状、原因及最佳的治疗方法。获取关于此类儿童骨骺损伤的详细康复建议，帮助孩子快速恢复健康，预防长期影响。",[18,23,28,33,38,43,48,53,58],{"id":19,"classification":20,"description":21,"sort":22,"diseaseId":12},157026,"概述","\u003Cp>　　桡骨小头骨骺分离多因跌倒时肩关节外展，肘关节伸直并外翻，桡骨小头撞击肱骨小头引起的，常见于儿童肘部关节损伤。\u003C/p>",0,{"id":24,"classification":25,"description":26,"sort":27,"diseaseId":12},157027,"病因","\u003Cp>　　桡骨小头骨骺分离多因跌倒时肩关节外展，肘关节伸直并外翻，桡骨小头撞击肱骨小头引起的，其损伤机制与桡骨头骨折相似。多属Salter-HarrisⅡ型和Ⅰ型损伤。\u003C/p>\u003Cp>　　本病可分为4型：Ⅰ型：歪戴帽型，约占50%左右;Ⅱ型：压缩型;Ⅲ型：碎裂型;Ⅳ型：压缩骨折型。\u003C/p>\u003Cp>　　\u003C/p>",1,{"id":29,"classification":30,"description":31,"sort":32,"diseaseId":12},157028,"症状","\u003Cp>　　常见症状：肘部受伤史、肘外侧肿胀、疼痛、压缩、功能障碍\u003C/p>",2,{"id":34,"classification":35,"description":36,"sort":37,"diseaseId":12},157029,"检查","\u003Cp>　　检查项目：X线检查\u003C/p>\u003Cp>　　本病的辅助检查主要是X线检查，同时有以下三点需注意：\u003C/p>\u003Cp>　　1、桡骨远端骨骺分离多向背侧或掌侧移位，X 线正位片多见不到骨骺分离，只有侧位片才能看到。对此，摄片时首先应摆正患儿体位，其次可加照不同角度的体位片;\u003C/p>\u003Cp>　　2、轻微的骨骺分离，骨骺移位不明显，此时X线片上只见轻微皮质皱起、成角。对此应仔细读片，以防止漏诊。\u003C/p>\u003Cp>　　3、干骺端如发现有异常高密度影时，应加照健侧腕关节片进行对比，如健侧无此改变,即可诊断骨骺分离;并建议患儿定期复查，如有骨痂形成，则可明确诊断。\u003C/p>",3,{"id":39,"classification":40,"description":41,"sort":42,"diseaseId":12},157030,"鉴别","\u003Cp>　　本病需与桡骨小头脱位相鉴别，X线检查可资鉴别。\u003C/p>\u003Cp>　　桡骨小头脱位主要表现为双侧肘部不对称，有时伸或屈肘关节时出现弹响或活动受限。尺骨弯曲方向与脱位类型有关，如桡骨小头前脱位，尺骨则向前方凸起;桡骨小头后脱位时，尺骨则向后凸出;外侧脱位时尺骨则向外侧凸出。当桡骨小头前脱位时，肘关节屈曲范围变小，肘窝处可扪及脱位的桡骨小头，当桡骨小头后脱位时肘关节不能完全伸直，肘后方可扪及突起的桡骨小头。X线片显示，肘关节侧位片上桡骨干纵轴线与肱骨头不发生交叉，桡骨头呈圆顶形，桡骨颈与肱骨小头形成关节，接触部位可发生压迹。\u003C/p>",4,{"id":44,"classification":45,"description":46,"sort":47,"diseaseId":12},157031,"并发症","\u003Cp>　　骨骺分离对骨骺发育生长的影响以及其愈后是否能影响骨端畸形，主要取决于损伤的部位、程度及治疗情况。早期诊断与治疗可以有效地防止并发症的发生，但若治疗不及时或损伤较重，则可能并发其它疾病，较为常见的如肘部畸形和上臂功能障碍等。\u003C/p>",5,{"id":49,"classification":50,"description":51,"sort":52,"diseaseId":12},157032,"预防","\u003Cp>1、避免对桡骨小头骨的保护，避免肩关节外展肘关节伸直并外翻桡骨小头撞击肱骨小头等因素。\u003C/p>\u003Cp>2、如果出现患处的疼痛、肿胀表现的话，应该及时进行患处的X光线、核磁共振检查等，及早的确定是不是桡骨小头骨骺分离，及早采取护理措施。\u003C/p>\u003Cp>3、多有氧运动、适当的进行合理的锻炼。\u003C/p>",6,{"id":54,"classification":55,"description":56,"sort":57,"diseaseId":12},157033,"治疗","\u003Cp>　　1、手法复位：多数病例效果良好，伸肘旋前、内翻肘关节，按压桡骨小头可复位，复位后屈时90°石膏外固定3周。\u003C/p>\u003Cp>　　2、撬拨复位：适用于手法复位无效的歪戴帽压缩骨折且分离者。\u003C/p>\u003Cp>　　3、开放复位：适用于上述方法复位不满意者。一般复位后不需钢针固定，仅陈旧性骨折复位后要克氏针内固定，以免术后移位。\u003C/p>\u003Cp>　　骨骺融合前的桡骨小头骨骺分离不宜切除桡骨小头，否则可明显影响前臂发育。\u003C/p>",7,{"id":59,"classification":60,"description":61,"sort":62,"diseaseId":12},157034,"饮食","\u003Cp>　　1、桡骨小骨骺分离吃哪些食物对身体好?\u003C/p>\u003Cp>　　饮食清淡有营养，注意膳食平衡宜钙质丰富的食品，如牛奶、奶酪、酸奶、豆制品;多吃新鲜绿色蔬菜。\u003C/p>\u003Cp>　　2、桡骨小骨骺分离最好不要吃哪些食物?\u003C/p>\u003Cp>　　忌辛辣食物忌多吃肉骨头 忌过食白糖 .，忌不消化之物 .忌食山芋、芋艿、糯米等易胀气或不消化食物。\u003C/p>\u003Cp>　　\u003C/p>",8,[64],"中西医结合科",true]