HEIPLE K G, FREEHAFER A A, VAN'T HOF A
J Bone Joint Surg Am. 1962 Oct;44-A:1387-94.
Three of our five cases and approximately one-half the cases reported were misdiagnosed at the time of original injury. Increased awareness of this lesion and alertness to the relationship of the radius and ulna on lateral roentgenograms of the wrist would probably reduce the incidence of faulty diagnosis markedly.We believe that early closed reduction and adequate immobilization should result in excellent function in most cases. Delay in diagnosis will probably result in protracted disability and the necessity for surgical correction.
我们的5例病例中有3例以及报告病例的约一半在初次受伤时被误诊。提高对这种损伤的认识以及在腕部侧位X线片上对桡骨和尺骨关系的警觉性,可能会显著降低误诊率。我们认为,早期闭合复位和充分固定在大多数情况下应能带来良好的功能。诊断延迟可能会导致长期残疾以及手术矫正的必要性。