【摘要】 通过对８年间１５２０例初诊为桡骨骨折＂的病例复习，发现有２５例合并有下尺桡关节的损伤，具体如下：明确诊断为盖氏骨折的仅５例，诊断为桡骨骨折合并尺骨远端骺分离者１５例，误诊为单纯桡骨骨折而未发现下尺桡关节半脱位者５例。其中共有１１例按前臂远端骨折处理，采用肘下石膏，致使复位失败，再移位，需要反复多次整复，结果骨折愈合时，３例位置欠佳，３例仍残留下尺桡关节半脱位。分析治疗上失败的原因多是由于对本病的认识不足或误诊引起。所以，凡遇到桡骨中下段骨折的病例，均应仔细检查下尺桡关节，并投照腕关节真正的侧位Ｘ线片，必要时可做ＣＴ检查，这样，可减少漏诊和误诊以及治疗上的不当。更多还原

【Abstract】 The authors reviewed 1520 patients diagnosed as radial fractures from January 1986 to December 1993. 25 cases had injuries of the distal radioulnar joint,5 dislocations of the distal ulna,the socalled Galeazzi fractures in adult, 15 cases had involvement of separation of the distal ulnar growth plate with displacement of the ulnar metaphysis,the socalled Galeazziequivalent injuries. In the rest 5 cases the initial joint injuries were not recognized. The cases were treated with various methods. The authors analyzed the mechanism of the injuries and emphasized the importance of early recognition of the injuries.更多还原