钩骨骨折的诊断与处理
Diagnosis and management of hook of hamate fractures.
作者信息
Kadar Assaf, Bishop Allen T, Suchyta Marissa A, Moran Steven L
机构信息
1 Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN, USA.
2 Orthopedic Division, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
出版信息
J Hand Surg Eur Vol. 2018 Jun;43(5):539-545. doi: 10.1177/1753193417729603. Epub 2017 Sep 11.
UNLABELLED
The purpose of this study was to evaluate the time to diagnosis and management of hook of hamate fractures in an era of advanced imaging. We performed a retrospective study of 51 patients treated for hook of hamate fractures. Patients were sent a quickDASH questionnaire regarding the outcomes of their treatment. Hook of hamate fractures were diagnosed with advanced imaging at a median of 27 days. Clinical findings of hook of hamate tenderness had better sensitivity than carpal tunnel-view radiographs. Nonunion occurred in 24% of patients with non-operative treatment and did not occur in the operative group. Both treatment groups achieved good clinical results, with a grip strength of 80% compared with the non-injured hand and a median quickDASH score of 2. Advanced imaging improved the time to diagnosis and treatment compared to historical case series. Nonunion is common in patients treated non-operatively.
LEVEL OF EVIDENCE
IV.
未标注
本研究的目的是评估在先进影像学时代，钩骨钩骨折的诊断和治疗时间。我们对51例接受钩骨钩骨折治疗的患者进行了回顾性研究。向患者发送了一份关于治疗结果的快速DASH问卷。钩骨钩骨折通过先进影像学诊断，中位时间为27天。钩骨钩压痛的临床发现比腕管位X线片具有更高的敏感性。非手术治疗的患者中有24%发生骨不连，而手术组未发生骨不连。两个治疗组均取得了良好的临床效果，握力与未受伤手相比为80%，快速DASH评分中位数为2。与既往病例系列相比，先进影像学缩短了诊断和治疗时间。非手术治疗的患者中骨不连很常见。
证据级别
IV级。
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