Smida M, Nigrou K, Soohun T, Sallem R, Jalel C, Ben Ghachem M
Department of Pediatric Orthopaedics, Tunis Children's Hospital (Hôpital d'Enfants de Tunis), Bab Saadoun 1007 Tunis, Tunisia.
Acta Orthop Belg. 2003;69(1):79-81.
The authors report 2 cases of concomitant scaphoid and distal radial fractures, a rare combination of lesions in children. The first case was in a 13-year-old boy who presented a transverse midscaphoid fracture associated with a Salter type II distal radial fracture. The second concerned a 10-year-old boy who presented a bilateral wrist injury. On the left side, a distal forearm fracture with anterior displacement was associated with a transverse midscaphoid fracture. On the right side, there was only a distal forearm fracture. Scaphoid fracture associated with distal radial fracture seems to have been more frequently reported in the literature during the last decade, probably because it is more frequently recognised. In fact, children with distal forearm injury should be well examined both clinically and radiologically in order to search for an associated scaphoid fracture. Reduction of the radius fracture should be done carefully to avoid possible displacement of the scaphoid fracture.
作者报告了2例舟状骨和桡骨远端同时骨折的病例,这在儿童中是一种罕见的损伤组合。第一例是一名13岁男孩,表现为舟状骨中部横行骨折,伴有桡骨远端Salter II型骨折。第二例是一名10岁男孩,双侧腕部受伤。左侧为前臂远端骨折伴向前移位,合并舟状骨中部横行骨折。右侧仅有前臂远端骨折。在过去十年中,舟状骨骨折合并桡骨远端骨折在文献中似乎有更频繁的报道,可能是因为它更容易被识别。事实上,对于前臂远端受伤的儿童,应进行全面的临床和放射学检查,以寻找合并的舟状骨骨折。桡骨骨折的复位应谨慎进行,以避免舟状骨骨折可能发生的移位。