Inoue G, Miura T
Department of Orthopaedic Surgery, Nagoya University School of Medicine, Japan.
Orthop Rev. 1991 Oct;20(10):867-72.
Six men and two women (aged 37 to 50) with traumatic axial-ulnar disruption of the carpus were evaluated at an average of 34 months following treatment. The injuries were caused by a broad, anteroposterior crushing force to the hand and wrist resulting from, in most cases, an industrial accident. Our treatment began 2 weeks postinjury in five patients and more than 1 month postinjury in three patients. Treatment techniques included closed or open reduction and plaster immobilization, primary or delayed skin grafting, immediate revascularization, and secondary techniques. Cooney's criteria rated treatment results as excellent in one patient, good in two, fair in two, and poor in three. Although four variations of this injury were identified, the pattern of disruption appeared to have no influence on the results. An early surgical procedure seems to be most effective.
对6名男性和2名女性（年龄在37至50岁之间）因创伤导致腕部轴向尺骨脱位的患者进行了评估，平均在治疗后34个月进行。这些损伤是由手部和腕部受到的广泛前后挤压伤造成的，大多数情况下是工业事故所致。5例患者在受伤后2周开始治疗，3例患者在受伤1个月后开始治疗。治疗技术包括闭合或切开复位及石膏固定、一期或延期植皮、即刻血管重建和二期技术。根据库尼标准，1例患者治疗结果为优，2例为良，2例为中，3例为差。尽管发现了这种损伤的四种变异情况，但脱位模式似乎对结果没有影响。早期手术似乎最为有效。
