Ameziane L, Marzouki A, Souhail S M, Daoudi A, Agoumi O
Service de chirurgie de la main, CHU de Fès, Maroc.
Chir Main. 2003 Dec;22(6):318-20. doi: 10.1016/j.main.2003.09.014.
Scapho-capitate fracture is a rare lesion and its mechanism is controversial. Forced extension seems to be the most frequent cause as this movement of the wrist induces scaphoid fracture by compression. Hyperextension of the wrist as a result of the scaphoid lesion, allows contact between the posterior margin of the radius and the neck of the capitate inducing a capitate fracture.
We report a case of Fenton's Syndrome, the patient was operated as an emergency by pining and immobilization of the carpus and thumb until bone consolidation had occurred.
Consolidation was noted at 8 weeks with a good mobility of the wrist.
Fenton's Syndrome is a rare lesion of the wrist. Analysis of our own case and a review of literature demonstrated extension as a causative mechanism, and the frequency of delayed diagnosis. Because of the presence of instability, scaphoid reduction and osteosynthesis is necessary. Immobilization of the carpus and thumb is essential until bony consolidation is obtained.
舟月骨骨折是一种罕见的损伤，其机制存在争议。强迫伸展似乎是最常见的原因，因为手腕的这种运动会因压缩导致舟骨骨折。舟骨损伤导致的手腕过度伸展，会使桡骨后缘与头状骨颈部接触，从而引发头状骨骨折。
我们报告一例芬顿综合征病例，该患者作为急诊接受手术，通过固定腕部和拇指直至骨折愈合。
8周时骨折愈合，手腕活动良好。
芬顿综合征是一种罕见的腕部损伤。对我们自己的病例分析及文献回顾表明伸展是其致病机制，且存在诊断延迟的情况。由于存在不稳定，舟骨复位和骨固定是必要的。在获得骨性愈合之前，固定腕部和拇指至关重要。
