Lepore L, Sannino G, Francobandiera C, Pone G, Lepore S
Centro Traumatologico Ortopedico, Servizio Autonomo di Pronto Soccorso, Napoli.
Ital J Orthop Traumatol. 1991 Sep;17(3):423-7.
The authors describe one case of perilunate dislocation. After reduction of the dislocation, there was a residual rotational subluxation of the scaphoid due to dorsal tearing of the scapho-triquetral and radio-scaphoid ligaments. The subluxation results in post-traumatic dorsal instability of the carpus. The authors report their clinical experience and conclude that clinical and radiographic diagnosis is not always easy and treatment, which is always surgical, must aim at joint stabilization and ligament reconstruction.
作者描述了一例月骨周围脱位病例。脱位复位后,由于舟月韧带和桡舟韧带背侧撕裂,舟骨存在残留旋转半脱位。这种半脱位导致腕关节创伤后背侧不稳定。作者报告了他们的临床经验,并得出结论:临床和影像学诊断并不总是容易的,且治疗(总是手术治疗)必须以关节稳定和韧带重建为目标。