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双手舟月骨骨折综合征——罕见腕骨损伤双侧发生的首次描述

[Scapho-capitate fracture syndrome of both hands--first description of a bilateral occurrence of a rare carpal injury].

作者信息

Strohm P C, Laier P, Müller C A, Gutorski S, Pfister U

机构信息

Klinik für Unfall-, Hand- und Wiederherstellungschirurgie der Chirurgischen Klinik des Städtischen Klinikums Karlsruhe.

出版信息

Unfallchirurg. 2003 Apr;106(4):339-42. doi: 10.1007/s00113-002-0556-7.

Abstract

The scapho-capitate fracture syndrome is a rare but severe injury of the carpus. It is characterized by a rotation of the proximal fragment of the capitate bone of 90 or 180 degrees and a fracture of the navicular bone in the intermediate third. This injury is caused by a fall on the outstretched and dorsiflected hand. The scapho-capitate fracture syndrome was firstly described in 1956 by Fenton. There are 31 cases described in literature but none of these involves both hands. Here we describe the first case of scapho-capitate fracture syndrome in both hands, in a 21 year old woman who jumped out of a window with suicidal intentions. She was treated operatively by Herbert-screws and K-wires.

摘要

舟月骨骨折综合征是一种罕见但严重的腕骨损伤。其特征为头状骨近端骨折块旋转90或180度,且舟状骨中1/3处骨折。这种损伤是由于手掌伸展并背屈着地摔倒所致。舟月骨骨折综合征于1956年由芬顿首次描述。文献中记载了31例病例,但均非双手同时受累。在此,我们报道首例双手患舟月骨骨折综合征的病例,患者为一名21岁有自杀意图而跳楼的女性。她接受了Herbert螺钉和克氏针手术治疗。

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