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月骨脱位经腕韧带向近端极度移位——病例报告

Extreme proximal migration of dislocated lunate over carpal ligament - A case report.

作者信息

Lee Jun-Mo, Kim Jong-Kil, Lee Kwang-Bok

机构信息

Department of Orthopedic Surgery, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, South Korea.

Department of Orthopedic Surgery, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, South Korea.

出版信息

Acta Orthop Traumatol Turc. 2017 Mar;51(2):177-180. doi: 10.1016/j.aott.2015.02.001. Epub 2016 Dec 22.

DOI:10.1016/j.aott.2015.02.001
PMID:28017515
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6197394/
Abstract

Dislocation of the lunate and proximal pole of the scaphoid with displacement of the fragments proximal to the radiocarpal joint, characterized as a total dislocation, is very rare, with only six cases reported. Dislocated lunate are generally located around the radiocarpal joint or within carpal ligament. However, there have been no reports of dislocated lunate over the carpal ligament. We present a patient with volar dislocation of the lunate that featured extreme migration to approximately 6 cm proximal to flexor digitorum superficialis through the transcarpal ligament.

摘要

月骨和舟骨近极脱位,骨折块向桡腕关节近端移位,被认定为完全脱位,这种情况极为罕见,仅有6例报告。脱位的月骨通常位于桡腕关节周围或腕骨韧带内。然而,尚无月骨在腕骨韧带上方脱位的报告。我们报告一例月骨掌侧脱位的患者,其特征是月骨通过腕横韧带极度移位至指浅屈肌近端约6厘米处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd15/6197394/356bc425ce6e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd15/6197394/4c832e8715ed/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd15/6197394/40937f2426f2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd15/6197394/55ea852b1c74/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd15/6197394/356bc425ce6e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd15/6197394/4c832e8715ed/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd15/6197394/40937f2426f2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd15/6197394/55ea852b1c74/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd15/6197394/356bc425ce6e/gr4.jpg

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Neglected trans-scaphoid trans-styloid volar dislocation of the lunate. Late result following open reduction and K-wire fixation.月骨经舟骨经茎突掌侧脱位被忽视。切开复位及克氏针固定后的远期结果。
J Bone Joint Surg Br. 2006 May;88(5):676-80. doi: 10.1302/0301-620X.88B5.16884.
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