Department of Orthopaedic Surgery, University of Rochester, 601 Elmwood Avenue, Box 665, Rochester, NY 14642, USA.
Hospital for Special Surgery, 523 East 72nd Street, 4th Floor, New York, NY 10021, USA.
Clin Sports Med. 2020 Apr;39(2):353-371. doi: 10.1016/j.csm.2019.12.006. Epub 2020 Feb 4.
Carpal fractures of bones other than the scaphoid occur at a much lower rate than scaphoid fractures. The close relationship between the carpus, intrinsic and extrinsic wrist ligaments, and wrist kinematics makes a thorough history, clinical examination, and interpretation of imaging for carpal malalignment essential. Carpal malalignment should be addressed with reduction and fixation. Nondisplaced fractures are often treated nonoperatively and displaced intraarticular fractures are almost always treatment operatively. The physician should keep in mind the athlete's specific goals and needs. Treatment must be individualized. Options for early return to play should be discussed when possible.
除了舟状骨以外的腕骨骨折的发生率远低于舟状骨骨折。腕骨、内在和外在腕关节韧带以及腕关节运动之间的密切关系使得对腕骨对线不良进行彻底的病史、临床检查和影像学解读至关重要。腕骨对线不良应通过复位和固定来解决。无移位骨折通常采用非手术治疗,而关节内移位骨折几乎总是需要手术治疗。医生应牢记运动员的特定目标和需求。必须根据个体情况制定治疗方案。应尽可能讨论早期重返运动的选择。