Weil Wayne M, Slade Joseph F, Trumble Thomas E
Division of Hand and Microvascular Surgery, Department of Orthopaedic Surgery, University of Washington Medical Center, Seattle, Washington 98195, USA.
Clin Orthop Relat Res. 2006 Apr;445:120-32. doi: 10.1097/01.blo.0000205889.11824.03.
Carpal dislocations are rare and complex injuries. Nearly every combination of radiocarpal and intercarpal dislocation has been described, but few fit neatly into a particular pattern or classification scheme. The injury may be subtle clinically and radiographically, and the diagnosis is frequently delayed. Prompt recognition, accurate reduction, and stable temporary internal fixation all contribute to improved outcomes. Internal fixation techniques depend on the pathology imparted on the carpus. Open reduction, arthroscopic, and fluoroscopically aided percutaneous techniques can be used to successfully treat carpal dislocations. We report our experiences treating perilunate injuries.
Level V (expert opinion).
腕骨脱位是罕见且复杂的损伤。几乎每种桡腕关节和腕骨间脱位的组合都有描述，但很少能完全符合特定的模式或分类方案。该损伤在临床和影像学上可能很隐匿，诊断常常延迟。及时识别、准确复位和稳定的临时内固定都有助于改善预后。内固定技术取决于腕骨所受的病理情况。切开复位、关节镜辅助和透视辅助经皮技术均可成功用于治疗腕骨脱位。我们报告我们治疗月骨周围损伤的经验。
V级（专家意见）。
