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[舟月骨骨折综合征(芬顿)]

[The scaphocapitate fracture syndrome (Fenton)].

作者信息

Arbter D, Piatek S, Wichlas F, Winckler S

机构信息

Klinik für Unfallchirurgie, Universitätsklinik Otto-v-Guericke Magdeburg.

出版信息

Handchir Mikrochir Plast Chir. 2009 Jun;41(3):171-4. doi: 10.1055/s-0029-1202843. Epub 2009 Mar 25.

Abstract

The scaphocapitate fracture syndrome as a greater arc injury is a special form of the perilunate fracture dislocation. It is a combination of fractures of the scaphoid and capitate bones. This severe injury of the carpus is rare and therefore difficult to diagnose. We report the case of a 22-year-old handball player, who fell on the outstretched hand with the wrist in extension. Open reduction was performed via a dorsal approach and both fractures were treated operatively with Herbert screws. After three months the patient was able to play handball again with a good functional result.

摘要

舟月头骨骨折综合征作为一种大弧损伤,是月骨周围骨折脱位的一种特殊形式。它是舟骨和头状骨骨折的组合。这种严重的腕骨损伤很少见,因此难以诊断。我们报告一例22岁手球运动员的病例,该患者伸直手腕时伸手跌倒。通过背侧入路进行切开复位,并用Herbert螺钉对两处骨折进行手术治疗。三个月后,患者能够再次打手球,功能恢复良好。

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