Kraus R, Böhringer G, Meyer C, Stahl J-P, Schnettler R
Klinik und Poliklinik für Unfallchirurgie, Justus-Liebig-Universität Giessen.
Handchir Mikrochir Plast Chir. 2005 Apr;37(2):79-84. doi: 10.1055/s-2005-837558.
Avulsion fractures of the scaphoid tubercle (Herbert type A1) are rare. Recommendations in the literature focus on a four to six week plaster immobilization including the thumb. Surgery is recommended in case of additional injuries to the carpus.
In a retrospective investigation including a 36 month period we reviewed acute fractures of the scaphoid and avulsion fractures of the scaphoid tubercle.
We found 81 acute scaphoid fractures, four of them (4.9 %) were isolated tuberculum avulsions. Three cases were extra-, one case an intraarticular fracture. The first were treated conservatively, the last with a percutaneous screw.
Following our own experiences with those rare injuries we recommend a differentiation of the fracture type into extraarticular injuries where conservative treatment should still be performed and intraarticular fractures where percutaneous screw osteosynthesis should be discussed.
舟骨结节撕脱骨折（Herbert A1型）较为罕见。文献中的建议主要是采用包括拇指在内的4至6周石膏固定。若腕骨有其他损伤，则建议进行手术。
在一项为期36个月的回顾性研究中，我们对舟骨急性骨折和舟骨结节撕脱骨折进行了评估。
我们共发现81例舟骨急性骨折，其中4例（4.9%）为单纯结节撕脱骨折。3例为关节外骨折，1例为关节内骨折。前3例采用保守治疗，最后1例采用经皮螺钉固定。
根据我们对这些罕见损伤的经验，我们建议将骨折类型分为关节外损伤（仍应采用保守治疗）和关节内骨折（应讨论经皮螺钉内固定）。
Zotero 插件