Ballas Efstathios G, Raptis Konstantinos, Stathopoulos Ioannis P, Stavropoulos Nikolaos A, Spyridonos Sarantis-Petros G
Department of Upper Limb and Hand Surgery and Microsurgery, KAT Hospital, Athens, Greece.
Arch Bone Jt Surg. 2017 Sep;5(5):332-336.
Isolated scaphoid dislocations are extremely rare injuries and are commonly associated with significant ligamentous disruptions. A dorsiflexion-supination force upon the hand is considered as the most common mechanism of injury. Different treatment options have been proposed for the management of this uncommon entity, ranging from conservative treatment with closed reduction and casting to a wide range of open or percutaneous surgical techniques. In this article, we reported ona case of this rare injury managed with open reduction and pinning along with ligamentous reconstruction.
孤立性舟骨脱位是极为罕见的损伤,通常伴有严重的韧带断裂。手部背伸-旋后力被认为是最常见的损伤机制。针对这种不常见的病症,已经提出了不同的治疗方案,从闭合复位及石膏固定的保守治疗到多种开放或经皮手术技术。在本文中,我们报告了一例采用切开复位、克氏针固定及韧带重建治疗的这种罕见损伤病例。