Pretell-Mazzini Juan, Carrigan Robert B
Pediatric Orthopaedic Division, Children's Hospital of Philadelphia, University Pennsylvania, School of Medicine, Philadelphia, Pennsylvania 19104-4399, USA.
J Pediatr Orthop B. 2011 Sep;20(5):330-3. doi: 10.1097/BPB.0b013e3283477df6.
Accurate diagnosis is crucial in effectively managing and treating both the radial and carpal fractures. Injuries to the carpal bones are not usually associated with fractures of the distal radius; however, the presence of a distal radius fracture does not preclude an associated carpal injury. The purpose of this review article is to compile cases of past reported distal radius fractures and simultaneous carpal injuries to restate its low prevalence within the pediatric population while still serving as a collective reference for management and treatment. After an electronic literature search was performed, we identified 18 published articles and 28 cases dealing with combined distal radial and carpal bones injuries in the pediatric population. As the mechanism of injury is similar for both fractures, despite the low incidence, orthopedic surgeons need to rule out carpal injury with a distal forearm fracture. Failure to treat both injuries appropriately may result in an unsatisfactory clinical result.
准确诊断对于有效处理和治疗桡骨及腕骨骨折至关重要。腕骨损伤通常与桡骨远端骨折无关；然而，桡骨远端骨折的存在并不排除合并腕骨损伤。这篇综述文章的目的是汇总过去报道的桡骨远端骨折及同时合并腕骨损伤的病例，以重申其在儿科人群中的低发病率，同时仍作为处理和治疗的综合参考。在进行电子文献检索后，我们确定了18篇已发表的文章以及28例涉及儿科人群桡骨远端和腕骨联合损伤的病例。由于两种骨折的损伤机制相似，尽管发病率较低，但骨科医生仍需排除前臂远端骨折合并腕骨损伤的情况。未能妥善治疗这两种损伤可能导致临床结果不理想。
