二分舟状骨近端极骨折：一种可能的类 Holt-Oram 综合征。
Fracture of the proximal pole of the bipartite carpal scaphoid: a probable Holt-Oram-like syndrome.
作者信息
Saccomanni B
机构信息
Orthopaedic and Traumatologic Surgery, Gabriele D'Annunzio University, Via dei Vestini, 66013 Chieti Scalo, Italy.
出版信息
Hand (N Y). 2009 Jun;4(2):140-4. doi: 10.1007/s11552-008-9144-9. Epub 2008 Oct 24.
Bipartite scaphoid has been debated, and is of a traumatic origin for some authors and congenital for others. The aim of study is to distinguish clinical, radiographic and MR criteria for the diagnosis of congenital bipartite scaphoid. I describe a case of a patient with bilateral bipartite scaphoid admitted at my clinic following a traumatic accident which produced a fracture of the proximal pole of the right carpal scaphoid. The patient had a history of bipartite scaphoid. In conclusion, I believe that congenital origin is more probable and this rare pathology is a sporadic form of Holt-Oram-like syndrome.
二分舟状骨一直存在争议，一些作者认为其起源于创伤，而另一些作者则认为是先天性的。本研究的目的是区分先天性二分舟状骨诊断的临床、影像学和磁共振标准。我描述了一例双侧二分舟状骨患者，该患者在我的诊所就诊，此前发生了一次创伤性事故，导致右侧腕舟状骨近端骨折。该患者有二分舟状骨病史。总之，我认为先天性起源更有可能，这种罕见的病理是一种散发性的类似 Holt-Oram 综合征的形式。
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