Jones David B, Kakar Sanjeev
Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
J Hand Surg Am. 2012 Oct;37(10):2168-73; quiz 2174. doi: 10.1016/j.jhsa.2012.07.034. Epub 2012 Sep 5.
Perilunate dislocations and fracture dislocations are high-energy injuries that can result in pain, stiffness, weakness, or disability if inappropriately treated. Prompt recognition and surgical treatment with anatomic reduction of carpal malalignment improve the likelihood of optimal, long-term clinical success and patient satisfaction. The progressive development of radiographic evidence of arthrosis is common but has not been shown to consistently correlate with worse patient function and outcomes.
月骨周围脱位和骨折脱位属于高能损伤，如果治疗不当，可能导致疼痛、僵硬、无力或残疾。及时识别并通过手术解剖复位腕骨排列不齐，可提高获得最佳长期临床疗效和患者满意度的可能性。关节病影像学证据的逐渐发展很常见，但尚未显示出与患者功能和预后较差存在一致的相关性。
