Behr B, Heffinger C, Hirche C, Daigeler A, Lehnhardt M, Bickert B
BG-Unfallklinik Ludwigshafen, Department of Plastic and Hand Surgery, University of Heidelberg, Ludwigshafen, Germany
BG-Unfallklinik Ludwigshafen, Department of Plastic and Hand Surgery, University of Heidelberg, Ludwigshafen, Germany.
J Hand Surg Eur Vol. 2014 Jul;39(6):662-5. doi: 10.1177/1753193413491041. Epub 2013 May 29.
Scaphoid nonunions in children requiring operative treatment are rare. The aim of this study was to analyze our own patient population of the last 13 years to assess the postoperative outcome of these operations. Seven patients, under aged 14 years, were treated for scaphoid nonunions. Patients were clinically and radiologically examined and subjective outcomes were measured, such as the visual analogue pain scale (VAPS), Disability of the Arm, Shoulder and Hand (DASH) score, and Krimmer score. All patients showed an excellent outcome, as determined by the DASH score, Krimmer score, and VAPS. No differences between grip strength and range of motion between the operated and non-operated hand were observed. Therefore, we propose that scaphoid nonunions in skeletally immature adolescents can be treated satisfactorily with excision of the nonunion and bone grafting.
需要手术治疗的儿童舟骨不愈合很少见。本研究的目的是分析我们过去13年的患者群体，以评估这些手术的术后结果。7名14岁以下的患者接受了舟骨不愈合治疗。对患者进行了临床和放射学检查，并测量了主观结果，如视觉模拟疼痛量表（VAPS）、手臂、肩部和手部功能障碍（DASH）评分以及克里默评分。根据DASH评分、克里默评分和VAPS确定，所有患者均显示出良好的结果。未观察到手术手与非手术手之间握力和活动范围的差异。因此，我们建议，骨骼未成熟青少年的舟骨不愈合可以通过切除不愈合部位并植骨得到满意的治疗。
