Kuniyoshi Kazuki, Toh Satoshi, Nishikawa Shinji, Kudo Satoru, Ogawa Taro, Pegoli Loris
Department of Orthopaedic Surgery, Hirosaki University School of Medicine, Hirosaki, Aomori, Japan.
J Pediatr Orthop B. 2005 Jan;14(1):46-50. doi: 10.1097/01202412-200501000-00008.
A 6-year-old boy with an isolated fracture of the capitate was presented. First radiograghs at our clinic revealed an oblique fracture with a displacement of 5 mm on the lateral view, which we successfully treated with immobilization. When complete union was recognized in the radiographs, the capitate had a deformity consisting of a large prominence on the palmar aspect. During follow-up, the capitate showed marked remodeling and at four and a half years after injury it had regained an almost normal shape. Eleven years after injury, there were no radiographic changes such as malalignment or arthrosis in the carpal bones.
一名6岁男孩因头状骨孤立性骨折前来就诊。我院首次拍摄的X线片显示为斜形骨折,侧位片上移位5毫米,我们通过固定成功治疗。当X线片显示骨折完全愈合时,头状骨出现畸形,掌侧有一个大的隆起。在随访过程中,头状骨显示出明显的重塑,受伤四年半后几乎恢复了正常形状。受伤11年后,腕骨没有出现如对线不良或关节病等影像学改变。