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表现异常的舟骨骨折:病例系列

Scaphoid fractures with unusual presentations: a case series.

作者信息

Pandit Sandesh, Wen Dennis Y

机构信息

Department of Family and Community Medicine, University of Missouri MA 303 Medical Sciences Building, Columbia, MO 65212 USA.

出版信息

Cases J. 2009 Jul 23;2:7220. doi: 10.4076/1757-1626-2-7220.

DOI:10.4076/1757-1626-2-7220
PMID:19829935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2740206/
Abstract

Despite the high incidence of scaphoid fractures, their diagnosis and treatment is often delayed which can lead to complications such as non-union, avascular necrosis, and future arthritis. We present three cases with non-classical mechanisms of injury, leading to a delayed diagnosis in all three cases. Our cases serve to emphasize the importance of a high index of suspicion for the possibility of scaphoid fractures in order to avoid these potential complications.

摘要

尽管舟骨骨折的发生率很高,但其诊断和治疗往往会延迟,这可能导致诸如不愈合、缺血性坏死和未来关节炎等并发症。我们报告三例具有非典型损伤机制的病例,三例均导致诊断延迟。我们的病例旨在强调高度怀疑舟骨骨折可能性的重要性,以避免这些潜在并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0266/2740206/9e63b5cf8ff8/1757-1626-0002-0000007220-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0266/2740206/4445a54f24d5/1757-1626-0002-0000007220-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0266/2740206/9e63b5cf8ff8/1757-1626-0002-0000007220-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0266/2740206/4445a54f24d5/1757-1626-0002-0000007220-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0266/2740206/9e63b5cf8ff8/1757-1626-0002-0000007220-002.jpg

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本文引用的文献

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Vascularised bone grafting in the management of scaphoid non-union - a review of 34 cases.带血管蒂骨移植治疗舟骨不愈合——34例病例回顾
J Hand Surg Eur Vol. 2008 Oct;33(5):628-31. doi: 10.1177/1753193408092038.
2
Treatment of scaphoid fractures and nonunions.舟状骨骨折与骨不连的治疗
J Hand Surg Am. 2008 Jul-Aug;33(6):988-97. doi: 10.1016/j.jhsa.2008.04.026.
3
Nonoperative compared with operative treatment of acute scaphoid fractures. A randomized clinical trial.急性舟骨骨折非手术治疗与手术治疗的比较:一项随机临床试验
J Bone Joint Surg Am. 2008 Jun;90(6):1176-85. doi: 10.2106/JBJS.G.00673.
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Management of scaphoid nonunions.舟骨不愈合的治疗
Orthop Clin North Am. 2007 Apr;38(2):237-49, vii. doi: 10.1016/j.ocl.2007.02.012.
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Acute scaphoid fractures.急性舟状骨骨折。
Orthop Clin North Am. 2007 Apr;38(2):229-35, vi. doi: 10.1016/j.ocl.2007.02.004.
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Treatment of acute scaphoid fractures: systematic review and meta-analysis.急性舟骨骨折的治疗:系统评价与荟萃分析
Clin Orthop Relat Res. 2007 Jul;460:142-51. doi: 10.1097/BLO.0b013e31803d359a.
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J Sci Med Sport. 2005 Jun;8(2):181-9. doi: 10.1016/s1440-2440(05)80009-x.
9
Cost effectiveness of adding magnetic resonance imaging to the usual management of suspected scaphoid fractures.在疑似舟状骨骨折的常规治疗中增加磁共振成像的成本效益。
Br J Sports Med. 2005 Feb;39(2):75-9. doi: 10.1136/bjsm.2003.007435.
10
The anatomy of the scaphoid.舟骨的解剖结构。
Hand Clin. 2001 Nov;17(4):525-32.