Ong Joshua Chong Yew, Devitt Brian Meldan, O'Sullivan Micheal Edmund
Department of Trauma and Orthopaedics, Galway University Hospital, Galway, Ireland.
J Orthop Surg (Hong Kong). 2012 Aug;20(2):243-5. doi: 10.1177/230949901202000222.
We report a 15-year-old girl who underwent a mid-carpal fusion for undiagnosed impaction-fractures of the capitate, lunate, and triquetrum after a fall on her outstretched left hand in a dorsiflexed and radially deviated position. The joint was dis-impacted, and the height of the lunate was restored using a cortical bone graft. The damaged proximal capitate articular surface was decorticated to facilitate fusion, as was the lunotriquetral articulation. Kirschner wires were inserted along the coronal plane. At the one-year follow-up, the patient had achieved a satisfactory range of motion and fusion of the capitate-lunate-triquetral articulations.
我们报告了一名15岁女孩，她在左手背伸并向桡侧偏斜位摔倒后，因头状骨、月骨和三角骨未确诊的嵌插骨折接受了腕中关节融合术。关节进行了复位，使用皮质骨移植恢复了月骨的高度。对头状骨近端受损的关节面进行了去皮质处理以促进融合，月三角关节也进行了同样处理。克氏针沿冠状面插入。在一年的随访中，患者的活动范围令人满意，头状骨-月骨-三角骨关节实现了融合。
