Givissis P, Christodoulou A, Chalidis B, Pournaras J
11st Orthopaedic Department, Aristotle University of Thessaloniki George Papanikolaou Hospital, Exochi, Thessaloniki 570101, Greece.
J Bone Joint Surg Br. 2006 May;88(5):676-80. doi: 10.1302/0301-620X.88B5.16884.
A rare case of radiocarpal dislocation is presented. The lunate and proximal pole of the scaphoid were displaced in a volar and proximal direction. The injury was missed initially and the patient was subsequently operated on six weeks later. Open reduction and internal fixation of the scaphoid was performed and this was followed by an uneventful postoperative period, with a satisfactory functional outcome at the eight-year follow-up, despite carpal instability non-dissociative-dorsal intercalated segmental instability configuration of the carpus. We believe that although open reduction in neglected cases carries the potential risks of avascular necrosis and nonunion of the affected carpal bones, an attempt should be made to restore the anatomy of the carpus.
本文报告一例罕见的桡腕关节脱位病例。月骨和舟骨近端向掌侧和近端移位。该损伤最初被漏诊，患者随后在六周后接受手术。对舟骨进行了切开复位内固定，术后恢复顺利，尽管腕骨存在非分离性背侧插入节段性不稳定（DISI）型腕关节不稳，但在八年随访时功能结果令人满意。我们认为，尽管在漏诊病例中切开复位存在受影响腕骨缺血性坏死和不愈合的潜在风险，但仍应尝试恢复腕骨的解剖结构。
