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创伤后静态掌侧插入节段性不稳定——医源性损伤或漏诊损伤。

Posttraumatic Static Volar Intercalated Segment Instability - Iatrogenic or Missed Injury.

作者信息

Senthil Vishnu, Kottamttavide Imthias V, Shah Hitesh

机构信息

Department of Orthopaedics, Kasturba Medical College, Manipal, Karnataka, India.

出版信息

J Orthop Case Rep. 2016 Nov-Dec;6(5):59-61. doi: 10.13107/jocr.2250-0685.632.

DOI:10.13107/jocr.2250-0685.632
PMID:28507968
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5404165/
Abstract

INTRODUCTION

Carpal instability is broad category consisting of various patterns of injury, with dissociative type more common.

CASE REPORT

A 13 -year -old boy presented at 6 months following a fall with restriction of wrist movements. Patient had sustained a closed distal one -third both bones fracture forearm fixed with K -wire, and volar lunate instability was found during sequential follow -up.

CONCLUSION

Posttraumatic carpal instability should be identified at the earliest to avoid poor hand function and morbidity associated with it.

摘要

引言

腕关节不稳是一个宽泛的类别,包括各种损伤模式,其中分离型更为常见。

病例报告

一名13岁男孩在跌倒6个月后出现腕关节活动受限。患者曾发生闭合性尺桡骨远端三分之一双骨折,采用克氏针固定,在后续随访中发现掌侧月骨不稳。

结论

创伤后腕关节不稳应尽早识别,以避免手部功能不佳及其相关的发病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064c/5404165/041ba00667fd/JOCR-6-59-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064c/5404165/5a65aba677d4/JOCR-6-59-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064c/5404165/cd1dbdacd96a/JOCR-6-59-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064c/5404165/43210a0fc974/JOCR-6-59-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064c/5404165/e24a4a8f6581/JOCR-6-59-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064c/5404165/e5c438678d70/JOCR-6-59-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064c/5404165/041ba00667fd/JOCR-6-59-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064c/5404165/5a65aba677d4/JOCR-6-59-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064c/5404165/cd1dbdacd96a/JOCR-6-59-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064c/5404165/43210a0fc974/JOCR-6-59-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064c/5404165/e24a4a8f6581/JOCR-6-59-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064c/5404165/e5c438678d70/JOCR-6-59-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064c/5404165/041ba00667fd/JOCR-6-59-g006.jpg

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本文引用的文献

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Post-traumatic carpal instability.创伤后腕关节不稳
Orthop Traumatol Surg Res. 2014 Feb;100(1 Suppl):S45-53. doi: 10.1016/j.otsr.2013.06.015. Epub 2014 Jan 21.
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Wrist instability after injury.损伤后手腕不稳定。
Mater Sociomed. 2012;24(2):121-4. doi: 10.5455/msm.2012.24.121-124.
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The treatment of wrist instability.腕关节不稳定的治疗
J Bone Joint Surg Br. 1997 Jul;79(4):684-90. doi: 10.1302/0301-620x.79b4.14192.
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Lunotriquetral sprains.月三角韧带扭伤
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Volar intercalary carpal instability following a seemingly innocent wrist fracture.看似轻微的腕部骨折后出现的掌侧中间腕骨不稳。
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