Third Brigade Fourth Infantry Division , Fort Carson, CO, USA.
J Orthop Sports Phys Ther. 2010 Jun;40(6):376. doi: 10.2519/jospt.2010.0409.
The patient was a 53-year-old male with a chief complaint of right wrist pain of insidious onsent for the past month. The patient reported no recent trauma, but said he had multiple falls while skiing and mountain biking. Wrist radiographs and magnetic resonance imaging revealed ulnar variance and signs of osteonecrosis of the lunate, or Kienbock's disease. The patient underwent a radial shortening osteotomy in an effort to reduce compressive forces on the lunate and further fragmentation and collapse.
患者为 53 岁男性，主因右腕疼痛就诊，疼痛呈隐匿性，持续 1 个月。患者自述无近期外伤史，但诉滑雪和山地自行车运动时多次摔倒。腕关节 X 线片和磁共振成像显示尺侧偏斜和月骨缺血性坏死（或 Kienbock 病）的征象。患者接受了桡骨缩短截骨术，以减轻月骨的压力和进一步的碎裂及塌陷。
