Strohm P C, Laier P, Gutorski S, Pfister U
Abteilung für Unfall-, Hand- und Wiederherstellungschirurgie, Städtisches Klinikum Karlsruhe, Moltkestrasse 90, 76133 Karlsruhe.
Unfallchirurg. 2002 Apr;105(4):395-6. doi: 10.1007/s001130100334.
With the case of a 25 year old patient we will report of a rare injury, the isolated body fracture of a triquetrum bone. This kind of injury often happens in dorsalflected and ulnarducted hand position because of the anatomical position of the triquetral bone. The therapy of choice is conservative treatment with a volar splint for three to six weeks. Operation is only necessary in case of dislocation of a fragment [4]. Complications as an aseptic necrosis of a fragment is not reported. We found only one case of a pseudarthrosis [5]. Even in our case occurred a complete healing of the bone and a complete functional remission.
我们将通过一名25岁患者的病例报告一种罕见的损伤,即三角骨的孤立性体部骨折。由于三角骨的解剖位置,这种损伤常发生于手处于背屈和尺偏位时。首选治疗方法是使用掌侧夹板进行三到六周的保守治疗。仅在骨折块移位的情况下才需要手术[4]。未报告骨折块无菌性坏死等并发症。我们仅发现一例假关节形成[5]。即使在我们的病例中,骨折也实现了完全愈合且功能完全恢复。