双侧舟状骨骨折：病例报告及文献综述
Bilateral scaphoid fractures: Case report and literature review.
作者信息
Kattan Abdullah E, Almarghoub Mohammed A, Alnujaim Nujaim H, Barasain Omar, AlLababidi Noor H
机构信息
Division of Plastic and Hand Surgery, King Saud University, Riyadh, Saudi Arabia.
Plastic and Reconstructive Surgery Section, Department of Surgery, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
出版信息
Int J Surg Case Rep. 2020;66:412-415. doi: 10.1016/j.ijscr.2020.01.005. Epub 2020 Jan 14.
BACKGROUND
Traumatic bilateral scaphoid fractures are extremely rare. Here, we report an unusual mechanism of bilateral scaphoid fracture after road traffic accident.
CASE REPORT
A 32-year-old male presented with bilateral wrist pain to our plastic surgery clinic six months after he was involved in a road traffic accident. He was diagnosed with bilateral scaphoid fracture based on his CT scan findings. It is noteworthy that at the time of collision, he had grasped the steering wheel strongly to brace himself and had suffered no significant injuries except for bilateral wrist pain.
DISCUSSION
The diagnosis may be missed in our case because of bilateral hand pain complaints and normal X-ray report. Thus, we suggest that CT scan should be performed in similar incidents, particularly in case of normal X-ray reports.
CONCLUSION
It is recommended that CT scan should be performed in similar mechanism of injury with a high index of suspicion.
背景
创伤性双侧舟状骨骨折极为罕见。在此，我们报告一例道路交通事故后双侧舟状骨骨折的不寻常机制。
病例报告
一名32岁男性在道路交通事故发生六个月后因双侧腕部疼痛前来我们的整形外科诊所就诊。根据其CT扫描结果，他被诊断为双侧舟状骨骨折。值得注意的是，在碰撞发生时，他紧紧抓住方向盘以支撑自己，除了双侧腕部疼痛外没有遭受其他重大损伤。
讨论
在我们的病例中，由于双侧手部疼痛主诉以及X线报告正常，诊断可能会被漏诊。因此，我们建议在类似事件中应进行CT扫描，尤其是在X线报告正常的情况下。
结论
对于具有高度怀疑指数的类似损伤机制，建议进行CT扫描。
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