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舟月头骨骨折综合征:一例报告及文献综述

The scaphocapitate fracture syndrome: report of a case and a review of the literature.

作者信息

Hamdi M F

机构信息

Department of Trauma and Orthopaedic Surgery, F. Bourguiba University Hospital, 5000 Monastir, Tunisia.

出版信息

Musculoskelet Surg. 2012 Dec;96(3):223-6. doi: 10.1007/s12306-011-0108-9. Epub 2011 Mar 4.

Abstract

The Fenton's syndrome or scaphocapitate fracture syndrome has been described since 1950. This severe and uncommon injury occurs after a high-energy trauma of the wrist. This syndrome associated the fractures of the scaphoid and capitate, with a rotation of 90° or 180° of the proximal fragment of the capitate. The diagnosis is determined by careful physical and radiological examinations, including conventional radiographs. Computed tomography can be helpful in detecting such lesions. We report one case of Fenton's syndrome that occurred after a high-energy trauma in a 22-year-old male. We discuss the mechanisms of the injury and the results of treatment.

摘要

自1950年以来,人们对芬顿综合征或舟月骨骨折综合征已有描述。这种严重且罕见的损伤发生于手腕的高能创伤之后。该综合征伴有舟骨和头状骨骨折,且头状骨近端骨折块有90°或180°的旋转。诊断需通过仔细的体格检查和影像学检查来确定,包括传统X线片。计算机断层扫描有助于检测此类损伤。我们报告1例22岁男性在高能创伤后发生芬顿综合征的病例。我们讨论了损伤机制及治疗结果。

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