[急性舟骨骨折的诊断与治疗进展]
[Advances in diagnosis and treatment of acute scaphoid fractures].
作者信息
Yang Chenguang, Chen Liang, Hu Shaonan
机构信息
Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, 200040, P.R.China.
Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, 200040,
出版信息
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019 Apr 15;33(4):507-510. doi: 10.7507/1002-1892.201811057.
OBJECTIVE
To review the advances in diagnosis and treatment of acute scaphoid fractures.
METHODS
The characteristic, classification, diagnosis, and treatment of acute scaphoid fractures were reviewed and summarized.
RESULTS
As one of the common fracture in hand, scaphoid fractures are generally classified as either undisplaced and stable or displaced and unstable. CT and MRI has best diagnostic specificity and sensitivity respectively. Most undisplaced and stable fractures can be treated successfully by plaster immobilization, whereas the displaced and unstable fractures have great prognosis after open reduction and internal fixation.
CONCLUSION
Acute scaphoid fractures should be diagnosed and treated at an early stage, and choose the appropriate treatment according to the location and stability of the fracture.
目的
回顾急性舟骨骨折的诊断与治疗进展。
方法
对急性舟骨骨折的特点、分类、诊断及治疗进行回顾与总结。
结果
舟骨骨折作为手部常见骨折之一，一般分为无移位稳定型和移位不稳定型。CT和MRI分别具有最佳的诊断特异性和敏感性。大多数无移位稳定型骨折通过石膏固定可成功治疗，而移位不稳定型骨折切开复位内固定后预后良好。
结论
急性舟骨骨折应早期诊断并治疗，根据骨折部位及稳定性选择合适的治疗方法。
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