Heitemeyer U, Ludolph E
Aktuelle Traumatol. 1986 Aug;16(4):131-6.
Dislocations of the carpal bones are rare. Because of the difficult radiological anatomy of the carpus, the diagnosis of such injuries is often missed. The treatment of a primary diagnosed luxation is easy, and an anatomical position of the carpal bones can be achieved by closed reduction. The functional result is good. In contrast the treatment of delayed diagnosed dislocations is very problematic, and the outcome of the mainly operative therapy is unsatisfactory on the whole. The radiological findings on dislocations of the carpal bones are discussed in principle. The indication of non-operative and operative treatment is outlined.
腕骨脱位较为罕见。由于腕骨的放射解剖结构复杂，此类损伤的诊断常常被漏诊。初诊脱位的治疗较为容易，通过闭合复位可使腕骨恢复到解剖位置。功能恢复良好。相比之下，延迟诊断脱位的治疗非常棘手，总体而言主要手术治疗的效果并不理想。本文原则性地讨论了腕骨脱位的放射学表现。概述了非手术和手术治疗的适应证。
