Langer M F, Unglaub F, Breiter S, Ueberberg J, Wieskötter B, Oeckenpöhler S
Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.
Abteilung für Handchirurgie, Vulpius Klinik GmbH Bad Rappenau, Vulpiusstr. 29, 74906, Bad Rappenau, Deutschland.
Unfallchirurg. 2019 Mar;122(3):170-181. doi: 10.1007/s00113-018-0597-1.
Among the carpal bones the scaphoid (Os scaphoideum) is the most important. The most frequent fracture of the carpus is a fracture of the scaphoid bone. The frequently occurring absence of healing of these fractures as well as unhealed ruptures of the ligament complex between the scaphoid and lunate, lead to the most severe biomechanical and thus the most severe clinical changes of the wrist. The detailed anatomy of the scaphoid, blood flow, ligament attachments, injury mechanisms and pathobiomechanics are described and illustrated.
在腕骨中,舟骨(Os scaphoideum)最为重要。腕骨最常见的骨折是舟骨骨折。这些骨折经常不愈合,以及舟骨和月骨之间韧带复合体的未愈合断裂,会导致腕部最严重的生物力学变化,进而导致最严重的临床改变。文中描述并说明了舟骨的详细解剖结构、血流情况、韧带附着点、损伤机制和病理生物力学。