Nakamura R, Imaeda T, Suzuki K, Miura T
Department of Orthopaedic Surgery, Nagoya University School of Medicine, Japan.
Am J Sports Med. 1991 Jan-Feb;19(1):88-91. doi: 10.1177/036354659101900115.
Ten patients with Kienböck's disease who were actively engaged in sports activities involving repeated minimal trauma to the wrist are presented. Comparative studies between the 10 patients with sports-related Kienböck's disease and 82 manual laborers with Kienböck's disease showed no difference in clinical presentation or radiographic findings. The history of repeated minimal trauma appeared to be similar in the two groups. Therefore, sports activities in which the wrist suffers repeated impact can lead to the development of Kienböck's disease identical to that occurring in manual laborers, although the sports group was younger and had smaller ulnar variance. Radial osteotomy improved clinical symptoms even in sports-related Kienböck's disease.
本文报告了10例患有月骨无菌性坏死且积极参与涉及手腕反复轻微创伤的体育活动的患者。对10例与运动相关的月骨无菌性坏死患者和82例患有月骨无菌性坏死的体力劳动者进行的比较研究显示，临床表现或影像学检查结果并无差异。两组患者反复轻微创伤的病史似乎相似。因此，手腕反复受到撞击的体育活动可导致与体力劳动者相同的月骨无菌性坏死，尽管运动组患者更年轻且尺骨变异较小。桡骨截骨术即使在与运动相关的月骨无菌性坏死中也能改善临床症状。
