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[9岁儿童舟月韧带损伤的韧带内缝合术]

[Intraligamentous suture of a scapholunar ligament lesion in a 9-year-old child].

作者信息

Alt V, Sicre G, Schad A

机构信息

C.H.G. Sarrebourg, Service de traumatologie, 25, Avenue Général de Gaulle, 57402 Sarrebourg, Frankreich, Germany.

出版信息

Unfallchirurg. 2002 Oct;105(10):943-5. doi: 10.1007/s00113-002-0448-x.

Abstract

Scapholunate dissociation is a well-known injury in adult patients. In pediatric patients, repair of this injury in the skeletally immature carpus has been previously reported. However, in none of these case studies is single ligamentous suture performed. We report a case of scapholunate dissociation in a 9-year-old boy after an initial Salter I injury of the distal radius. After 6 weeks of wrist immobilization, arthroscopy was performed due to persisting pain over the scapholunate gap, a positive Watson sign, and limited range of motion. This arthroscopy revealed intraligamentous rupture of the scapholunate ligament. Suture repair of the scapholunate ligament was performed. The suture was protected by a temporary K-wire arthrodesis for 8 weeks. One year after removal of the K-wire, the patient is completely free of symptoms and resumes all sport activities.

摘要

舟月骨分离在成年患者中是一种众所周知的损伤。在儿科患者中,此前已有关于在骨骼未成熟的腕骨中修复这种损伤的报道。然而,在这些病例研究中均未进行单韧带缝合。我们报告一例9岁男孩在桡骨远端最初发生Salter I型损伤后出现舟月骨分离的病例。在腕关节固定6周后,由于舟月骨间隙持续疼痛、沃森试验阳性及活动范围受限,遂进行了关节镜检查。该关节镜检查显示舟月韧带韧带内断裂。对舟月韧带进行了缝合修复。用一根临时克氏针进行关节固定以保护缝线8周。拔除克氏针一年后,患者完全无症状,恢复了所有体育活动。

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