Forward D P, Singh H P, Dawson S, Davis T R C
Department of Trauma and Orthopaedic Surgery, Queen's Medical Campus, Nottingham University Hospitals, Nottingham, UK.
J Hand Surg Eur Vol. 2009 Feb;34(1):40-6. doi: 10.1177/1753193408093327. Epub 2009 Jan 7.
The aim of this study was to assess the effect of malunion of scaphoid fractures on the clinical outcome at 1 year. Forty-two consecutive patients with united scaphoid waist fractures which had been treated non-operatively underwent longitudinal CT scans to confirm union and assess malunion at 12 to 18 weeks after injury. A blind clinical assessment was made and the Patient Evaluation Measure (PEM) and DASH questionnaires were completed by all the patients 1 year after injury. The group consisted of 38 men and four women with a mean age of 31 years at the time of injury. Correlation analysis revealed no significant relationships between any of the outcome measures (range of motion, grip strength and PEM and DASH scores) and any of the three measures of malunion (height-to-length ratio, the dorsal cortical angle and the lateral intra-scaphoid angle).
本研究的目的是评估舟骨骨折畸形愈合对1年时临床结果的影响。42例连续的舟骨腰部骨折已接受非手术治疗且骨折已愈合的患者在受伤后12至18周接受纵向CT扫描以确认骨折愈合并评估畸形愈合情况。进行了盲法临床评估，所有患者在受伤1年后完成患者评估量表（PEM）和上肢功能障碍评分量表（DASH）问卷。该组由38名男性和4名女性组成，受伤时平均年龄为31岁。相关性分析显示，任何一项结果指标（活动范围、握力以及PEM和DASH评分）与畸形愈合的三项指标（高长比、背侧皮质角和舟骨内外侧角）之间均无显著相关性。
