Dumontier C, Carmès S, Kadji O
Urgences main Guadeloupe, clinique les eaux claires, ZAC Moudong Sud, 97122 Baie-Mahault, Guadeloupe.
Urgences main Guadeloupe, clinique les eaux claires, ZAC Moudong Sud, 97122 Baie-Mahault, Guadeloupe.
Hand Surg Rehabil. 2016 Dec;35S:S55-S59. doi: 10.1016/j.hansur.2016.05.008. Epub 2016 Oct 26.
Although isolated distal radius and scaphoid fractures are common, the combination of both fractures is rare, with a reported frequency between 0.5% and 6%. This rarity is probably due to the fact that both fractures share the same injury mechanism. Published studies are limited, but most patients are males in their 40s and the injuries are typically due to high-energy trauma. In most studies, the distal radius fracture is displaced while the scaphoid fracture is not. Since the functional outcome depends of the severity of the radius fracture, we believe, as do others, that it is logical to fix both fractures with stable devices (i.e., screw fixation for the scaphoid, locking plate for the radius) to allow for early rehabilitation.
虽然孤立的桡骨远端骨折和舟骨骨折很常见，但这两种骨折同时发生的情况却很罕见，报告的发生率在0.5%至6%之间。这种罕见情况可能是由于这两种骨折具有相同的损伤机制。已发表的研究有限，但大多数患者为40多岁的男性，损伤通常由高能创伤引起。在大多数研究中，桡骨远端骨折有移位，而舟骨骨折无移位。由于功能预后取决于桡骨骨折的严重程度，我们和其他人一样认为，用稳定的器械（即舟骨用螺钉固定，桡骨用锁定钢板固定）固定这两种骨折以便早期康复是合理的。
