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为了减少小儿桡骨头半脱位的误诊,达到正确诊断和及时治疗,总结误诊50例。误诊为肘关节软组织挫伤35例,肱骨外髁骨折5例,桡骨头骨折10例。误诊原因有①对小儿桡骨头的发育及生理特点认识不足;②未作详细的专科体检,过份依靠X光照片的结果;③对小儿肘关节骨骺出现与闭合时间认识不足。只要正确掌握小儿桡骨头半脱位的发病机理、诊断依据,严防先入为主,确诊是不难的。一经确诊,手法复位简单易行,获得立即复位效果
In order to reduce the misdiagnosis of radial subluxation of the child, to achieve the correct diagnosis and timely treatment, summarized misdiagnosis in 50 cases. Misdiagnosed as elbow soft tissue contusion in 35 cases, humeral lateral condyle fracture in 5 cases, radial head fractures in 10 cases. The causes of misdiagnosis are: (1) lack of understanding of the development and physiological characteristics of children with radial head; (2) without detailed medical examination, the results of over-reliance on X-rays; (3) lack of understanding about the appearance and closing time of elbow epiphysis in children. As long as the correct grasp of the pathogenesis of radial subluxation in children, based on diagnosis, prevent preconception, diagnosis is not difficult. Once diagnosed, the method of reset is simple, get immediate reset effect