Cowell Gordon W, Ng Chye Yew, Tiemessen Christopher H, Phillips John E
Department of Orthopaedic Surgery, Borders General Hospital, Melrose, UK.
BMJ Case Rep. 2011 Aug 24;2011:bcr0720114513. doi: 10.1136/bcr.07.2011.4513.
The authors describe two cases of perilunate dislocation with transscaphoid fractures both presenting following hyperextension injuries within 4 days of each other at a district general hospital. After initial management in accident and emergency, both patients underwent open reduction and internal fixation under general anaesthetic, with plaster cast immobilisation and careful clinical follow-up. Given the relative rarity of this injury, the significance of the radiological findings, the degree of associated bony and ligamentous damage and the need for prompt intervention may be overlooked. Thus, a summary of presentation and management of the condition is given to aid junior emergency staff in diagnosis and initial management.
作者描述了两例月骨周围脱位合并经舟骨骨折的病例，这两例均在一家区综合医院于彼此相隔4天内的伸展过度损伤后出现。在事故与急救科进行初步处理后，两名患者均在全身麻醉下接受了切开复位内固定术，并用石膏固定，同时进行仔细的临床随访。鉴于这种损伤相对罕见，其放射学表现的重要性、相关骨与韧带损伤的程度以及及时干预的必要性可能会被忽视。因此，给出了该病症的临床表现及处理总结，以帮助初级急救人员进行诊断和初步处理。
