Guo Wenlai, Yuan Baoming, Zhu Zhe, Huang Chao, Li Rui, Wu Dankai
Hand & Foot Surgery.
Department of Orthopedics, The Second Hospital of Jilin University, Changchun, China.
Medicine (Baltimore). 2018 Dec;97(49):e13574. doi: 10.1097/MD.0000000000013574.
Lunate fractures are very rare, accounting for only 0.5% to 6.5% of all carpal fractures. They are mostly caused by high-energy trauma and commonly occur with fractures and dislocations of other carpal bones. It is rarely combined with Colles' fracture and the underlying pathogenesis and prognostic significance still remain controversial.
Here we report a case of a fresh lunate fracture combined with Colles' fracture, without dislocations of other carpal bones caused by a low-energy fall injury.
Lunate fracture, Colles' fracture.
This patient received closed reduction and internal fixation (CRIF) with K-wire.
The patient took follow up 1 year and the patient showed good function of the wrist joint LESSONS:: Lunate fractures have no high misdiagnosis rate. Patients suffering persistent wrist swelling after a trauma should be carefully examined and followed up to prevent severe secondary diseases and wrist joint dysfunction.
月骨骨折非常罕见，仅占所有腕骨骨折的0.5%至6.5%。它们大多由高能创伤引起，常与其他腕骨的骨折和脱位同时发生。很少与Colles骨折合并，其潜在的发病机制和预后意义仍存在争议。
在此，我们报告一例新鲜月骨骨折合并Colles骨折的病例，该骨折由低能量跌倒损伤引起，无其他腕骨脱位。
月骨骨折，Colles骨折。
该患者接受了克氏针闭合复位内固定术（CRIF）。
患者随访1年，腕关节功能良好。
月骨骨折误诊率不高。外伤后持续腕部肿胀的患者应仔细检查并随访，以预防严重的继发性疾病和腕关节功能障碍。
