Inoue G, Tanaka Y, Nakamura R
Department of Orthopaedic Surgery, (Division of Hand Surgery), Nagoya University School of Medicine, Japan.
J Hand Surg Br. 1990 Nov;15(4):449-54. doi: 10.1016/0266-7681(90)90088-l.
Thirteen patients with 14 dorsal trans-scaphoid perilunate dislocations were treated by open reduction and internal fixation of the scaphoid using a Herbert screw. The follow-up evaluations took place after a mean of 18 months. These perilunate dislocations were only trans-scaphoid in ten wrists, trans-radial styloid and trans-scaphoid in three and trans-scaphoid and trans-capitate in one. Based on Cooney's clinical scoring system, the scores of our series were two excellent, six good, five fair and one poor. This suggests that the Herbert screw can offer satisfactory results in the management of trans-scaphoid perilunate dislocations, despite its technical difficulties.
13例患有14处经舟骨月骨周围背侧脱位的患者，采用Herbert螺钉对舟骨进行切开复位内固定治疗。平均随访18个月后进行评估。这些月骨周围脱位中，仅10例腕关节为经舟骨脱位，3例为经桡骨茎突和经舟骨脱位，1例为经舟骨和经头状骨脱位。根据Cooney临床评分系统，本系列病例的评分结果为2例优、6例良、5例可、1例差。这表明，尽管存在技术困难，但Herbert螺钉在治疗经舟骨月骨周围脱位方面可提供令人满意的结果。
