骨科英文书籍精读（84）｜肱骨远端骨折（1）

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FRACTURES OF THE DISTAL HUMERUS IN ADULTS

Fractures around the elbow in adults – especially those of the distal humerus – are often high-energy injuries which are associated with vascular and nerve damage. Some can be reduced and stabilized only by complex surgical techniques; and the tendency to stiffness of the elbow means that with all severe injuries the striving for anatomical perfection has to be weighed up against the realities of imperfect postoperative function.

The AO-ASIF Group have defined three types of distal humeral fracture: 

Type A – an extra-articular supracondylar fracture; 

Type B – an intra-articular unicondylar fracture (one condyle sheared off); 

Type C – bicondylar fractures with varying degrees of comminution. 

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

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重点词汇整理：

striving for争取 

strive/straɪv/vi. 努力；奋斗；抗争

supracondylar髁上的

 condylar/'kɔndilə/adj. 髁的

 intra-articular /,intrəɑ:'tikjulə/adj. 关节内的

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百度翻译：

成人肱骨远端骨折

成人肘关节周围骨折-尤其是肱骨远端骨折-通常是高能量损伤，与血管和神经损伤有关。有些损伤只能通过复杂的外科技术来减轻和稳定；肘关节僵硬的趋势意味着，在所有严重损伤的情况下，必须考虑到术后功能不完善的现实情况，才能使解剖结构更加完美。

AO-ASIF组定义了三种肱骨远端骨折：

A型-髁上关节外骨折；

B型-关节内单髁骨折（一个髁突被切断）；

C型-双髁骨折伴不同程度粉碎。

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