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[一例腕部复合伤中CT漏诊的舟骨骨折]

[A scaphoid fracture overlooked in CT in a combination injury of the wrist].

作者信息

Ackermann O, Kaminski A

机构信息

Akademisches Lehrkrankenhaus, Evangelisches Krankenhaus Mettmann GmbH, Gartenstraße 4-8, 40822, Mettmann, Deutschland.

出版信息

Unfallchirurg. 2018 Jul;121(7):583-587. doi: 10.1007/s00113-018-0470-2.

DOI:10.1007/s00113-018-0470-2
PMID:29464296
Abstract

A case of a patient with a combined wrist injury is presented, where a scaphoid fracture was overlooked in the computed tomography scan. The case emphasizes the value of the x‑ray control in ulnar abduction for all wrist lesions which need to be operatively stabilized.

摘要

本文介绍了一例合并腕部损伤的患者，其在计算机断层扫描中漏诊了舟骨骨折。该病例强调了对所有需要手术稳定的腕部损伤进行尺侧外展X线检查的价值。

相似文献

1
[A scaphoid fracture overlooked in CT in a combination injury of the wrist].[一例腕部复合伤中CT漏诊的舟骨骨折]
Unfallchirurg. 2018 Jul;121(7):583-587. doi: 10.1007/s00113-018-0470-2.
2
Re: a missed scaphoid fracture on a CT scan with an associated trapezial fracture and dorsal dislocation of the scaphotrapeziotrapezoid joint.回复：CT扫描漏诊的舟骨骨折，伴有大多角骨骨折及舟大多角小多角关节背侧脱位。
J Hand Surg Eur Vol. 2008 Dec;33(6):815-6. doi: 10.1177/1753193408094155.
3
Clinical scaphoid score (CSS) to identify scaphoid fracture with MRI in patients with normal x-ray after a wrist trauma.临床舟状骨评分 (CSS) 用于识别腕部创伤后 X 线正常的 MRI 中的舟状骨骨折。
Emerg Med J. 2014 Aug;31(8):659-64. doi: 10.1136/emermed-2012-202219. Epub 2013 May 31.
4
[Role of wrist instability in the onset of pseudoarthrosis of the scaphoid bone].[腕关节不稳定在舟状骨假关节形成中的作用]
Srp Arh Celok Lek. 2000 Nov-Dec;128(11-12):384-8.
5
The benefit of magnetic resonance imaging for patients with posttraumatic radial wrist tenderness.磁共振成像对创伤后桡腕部压痛患者的益处。
J Hand Surg Am. 2013 Jan;38(1):29-33. doi: 10.1016/j.jhsa.2012.09.034. Epub 2012 Nov 30.
6
Wrist motion analysis in scaphoid nonunion.舟骨不愈合时的腕关节运动分析
Eur J Trauma Emerg Surg. 2016 Feb;42(1):11-4. doi: 10.1007/s00068-016-0640-2. Epub 2016 Jan 27.
7
Diagnostic value of cone beam computed tomography (CBCT) in occult scaphoid and wrist fractures.锥形束计算机断层扫描（CBCT）在隐匿性舟状骨和腕骨骨折中的诊断价值。
Eur J Radiol. 2017 Dec;97:59-64. doi: 10.1016/j.ejrad.2017.10.010. Epub 2017 Oct 18.
8
Diagnostic performance of radiographs and computed tomography for displacement and instability of acute scaphoid waist fractures.X 线片和 CT 对急性舟状骨腰部骨折移位和不稳定的诊断性能。
J Bone Joint Surg Am. 2012 Nov 7;94(21):1967-74. doi: 10.2106/JBJS.K.00993.
9
Current concepts for the treatment of acute scaphoid fractures.急性舟骨骨折的当前治疗理念。
Eur J Trauma Emerg Surg. 2016 Feb;42(1):3-10. doi: 10.1007/s00068-015-0587-8. Epub 2015 Nov 25.
10
[The primarly overlooked scaphoid fracture--a diagnostic challenge?].[原发性易被忽视的舟状骨骨折——一项诊断挑战？]
Handchir Mikrochir Plast Chir. 2010 Feb;42(1):71-4. doi: 10.1055/s-0029-1246210. Epub 2010 Mar 4.

本文引用的文献

1
Current concepts for the treatment of acute scaphoid fractures.急性舟骨骨折的当前治疗理念。
Eur J Trauma Emerg Surg. 2016 Feb;42(1):3-10. doi: 10.1007/s00068-015-0587-8. Epub 2015 Nov 25.
2
MR Imaging of Carpal Fractures.腕骨骨折的磁共振成像
Magn Reson Imaging Clin N Am. 2015 Aug;23(3):405-16. doi: 10.1016/j.mric.2015.04.006. Epub 2015 May 13.
3
[Fractures of the distal radius: operative technique of fixed-angle palmar plates for extension type fractures].桡骨远端骨折：用于伸展型骨折的角稳定掌侧钢板手术技术
Unfallchirurg. 2014 Nov;117(11):1037-44. doi: 10.1007/s00113-014-2677-1.
4
[Scapholunate lesions].[舟月关节损伤]
Unfallchirurg. 2014 Aug;117(8):723-37; quiz 738-9. doi: 10.1007/s00113-014-2621-4.
5
The benefit of magnetic resonance imaging for patients with posttraumatic radial wrist tenderness.磁共振成像对创伤后桡腕部压痛患者的益处。
J Hand Surg Am. 2013 Jan;38(1):29-33. doi: 10.1016/j.jhsa.2012.09.034. Epub 2012 Nov 30.
6
[Concomitant injuries of distal radius fractures].[桡骨远端骨折的合并伤]
Unfallchirurg. 2010 Oct;113(10):796, 797-803. doi: 10.1007/s00113-010-1850-4.
7
The incidence of intrinsic and extrinsic ligament injuries in scaphoid waist fractures.舟状骨腰部骨折中外侧和内侧韧带损伤的发生率。
J Hand Surg Am. 2010 Mar;35(3):368-74. doi: 10.1016/j.jhsa.2009.12.023.
8
Diagnosing suspected scaphoid fractures: a systematic review and meta-analysis.诊断疑似舟状骨骨折：系统评价和荟萃分析。
Clin Orthop Relat Res. 2010 Mar;468(3):723-34. doi: 10.1007/s11999-009-1081-6. Epub 2009 Sep 15.
9
Examination tests predictive of bone injury in patients with clinically suspected occult scaphoid fracture.检查测试预测临床上疑似隐匿性舟状骨骨折患者的骨损伤。
Injury. 2009 Dec;40(12):1265-8. doi: 10.1016/j.injury.2009.01.140. Epub 2009 Jun 13.
10
Positioning of the wrist for scaphoid radiography.
Eur J Radiol. 2007 Oct;64(1):126-32. doi: 10.1016/j.ejrad.2007.02.008. Epub 2007 Mar 9.