桡骨远端骨折-Melone分类(The Melone Classification)-双语学习

Fractures of the distal radius have many types and classifications. These classifications include: Fernandez, Frykman, Melone, Three Column Theory, and AO. Each type will require a specific understanding of the classification and management of the fractures (not all of them can be treated with a cast).

桡骨远端骨折有多种类型和分型。这些分类包括:Fernandez、Frykman、Melone、Three Column Theory和AO。每种类型都需要对骨折的分类和处理有一个具体的了解(并不是所有的骨折都能用石膏治疗)。

In the Melone Classification of distal radius fractures, there are five types of intra-articular fractures divided into fracture types based on displacement. Based on the effect of the lunate’s impaction on the radial articular surface to create characteristic fracture fragments.

在桡骨远端骨折的Melone分类中，根据月骨对桡骨关节面的撞击，造成具有特征性骨折碎片的移位将关节内骨折分为5种类型。

Type I fractures are stable and without displacement. Type I fractures results in four characteristic fragments: the radial shaft fragment proximal to the fracture, radial styloid fragment, dorsal fragment of the lunate facet, and the palmar fragment of the lunate facet.

I型裂缝稳定，无位移。I型骨折有4个特征性骨折片:骨折近端桡骨轴段、桡骨茎突段、月状突背侧段和月状突掌侧段。

Type II fractures are an unstable “Die punch” displaced intra-articular fracture. Type II A fractures are reducible. Type II B fractures are irreducible (central impaction fracture) and double die-punch fractures usually require an open reduction and internal fixation.

II型骨折是一种不稳定的关节内移位的“Die-punch”骨折。II型A型骨折可复位。II型B型骨折是不可复位的(中心嵌塞性骨折)，双Die-punch骨折通常需要切开复位内固定。

Type III fractures are also referred to as “Spike fractures”. These are unstable die punch fractures with displacement of the articular surface and also of the proximal spike of the radius. These fractures involve additional fracture fragments from the shaft of the radius that projects into flexor compartment (may involve the median nerve). These fractures usually require surgery in order to remove the spike and fix the fracture.

III型骨折也称为“道钉骨折”，是不稳定的die-punch骨折，有关节面和桡骨近端“道钉”碎片的移位。这些骨折包括从桡骨轴向屈肌室突出的骨折碎片(可能包括正中神经)。这些骨折通常需要手术来移除碎片并固定骨折。

Type IV fractures are also known as a “Split fracture”. These are unstable fractures of the medial complex that is severely comminuted with separation and/or rotation of the dorsal and palmar fragments.

IV型骨折也被称为“劈裂骨折”，是内侧复合体的不稳定骨折，有背部和掌侧碎片的分离和/或旋转的严重粉碎骨折。

Type V fractures are referred to as an “explosion injury”. These injuries are severe comminution and major soft tissue injuries.

V型骨折被称为“爆炸伤”。这些损伤有严重的粉碎骨折和主要的软组织损伤。

桡骨远端骨折-Melone分类