Reichel Lee M, Bell Bryce R, Michnick Stuart M, Reitman Charles A
Department of Orthopedic Surgery, Baylor College of Medicine, Ben Taub General Hospital, Houston, TX, USA.
J Hand Surg Am. 2012 Aug;37(8):1726-41. doi: 10.1016/j.jhsa.2012.06.002.
Radial styloid fractures can occur in isolation or in association with other injuries, including complex intra-articular distal radius fractures, carpal fractures, carpal dislocations, and radiocarpal dislocations. The anatomy surrounding the radial styloid is complex, and complications related to surgical approach, treatments, and symptomatic hardware can occur. Operative treatments vary according to the injury pattern present, and pattern recognition is the key to optimizing treatment of these injuries. Outcomes are related to the precision of the reconstruction as well as the magnitude of the injury; better results are associated with lower-energy patterns.
桡骨茎突骨折可单独发生，也可与其他损伤同时存在，包括复杂的桡骨远端关节内骨折、腕骨骨折、腕骨脱位和桡腕关节脱位。桡骨茎突周围的解剖结构复杂，可能会出现与手术入路、治疗方法及有症状的内固定物相关的并发症。手术治疗方法因损伤类型而异，识别损伤类型是优化这些损伤治疗的关键。治疗结果与重建的精确程度以及损伤的严重程度有关；能量较低的损伤类型预后较好。
