Albert M C, Barre P S
Miami Valley Hospital, Dayton, Ohio.
Clin Orthop Relat Res. 1989 Mar(240):232-5.
A hyperextension injury to the wrist caused a transverse scaphoid fracture associated with a displaced distal radial fracture in an 11-year-old boy. Anatomic reduction and immobilization in a long-arm cast for a period of 12 weeks resulted in subsequent healing of these fractures. The coexistence of a scaphoid fracture with a distal radius fracture in a child is important to recognize because reduction maneuvers are modified to effectively treat this combination of injuries. Patients with distal radial physeal injuries should be closely evaluated for clinical and roentgenographic signs of scaphoid fractures.
一名11岁男孩因手腕过度伸展损伤导致舟状骨横行骨折,并伴有桡骨远端骨折移位。通过解剖复位并使用长臂石膏固定12周,这些骨折随后愈合。儿童舟状骨骨折与桡骨远端骨折并存的情况很重要,需要识别,因为复位手法需要调整,以有效治疗这种复合型损伤。对于桡骨远端骨骺损伤的患者,应密切评估是否有舟状骨骨折的临床和影像学体征。