Nakamoto J C, Saito M, Medina G, Schor B
Instituto Vita, R. Mato Grosso, 306 No. 1 Andar, 01239-040 São Paulo, SP, Brazil.
Case Rep Orthop. 2011;2011:492407. doi: 10.1155/2011/492407. Epub 2011 Sep 26.
We present the case of an 18-year-old high-level gymnast who sustained a stress fracture of the scaphoid associated with a distal radial epiphysiolysis. Clinical evaluation demonstrated decreased range of motion of the affected wrist and insidious pain on the snuffbox and tenderness on the distal radial physis. He was submitted to surgical treatment with scaphoid percutaneous fixation and radial styloid process in situ fixation. Clinical features improved, and he got back to competition 6 months after surgery without symptoms and with complete range of motion.
我们报告一例18岁的高水平体操运动员,其舟骨发生应力性骨折并伴有桡骨远端骨骺分离。临床评估显示,患侧腕关节活动范围减小,鼻烟窝处有隐匿性疼痛,桡骨远端骨骺有压痛。他接受了舟骨经皮固定和桡骨茎突原位固定的手术治疗。临床症状改善,术后6个月他恢复比赛,无症状且关节活动范围完全正常。