Walker J L, Greene T L, Lunseth P A
Texas Tech University Health Sciences Center, Department of Orthopaedic Surgery, Lubbock.
J Orthop Trauma. 1988;2(1):22-8. doi: 10.1097/00005131-198802000-00006.
Fractures of the body of the trapezium are uncommon. Ten such cases are reported. They may be associated with other carpal or metacarpal fractures and may require special radiographic views for diagnosis. There does not appear to be a consistent mechanism of injury. A classification system is proposed based on the five fracture configurations identified. Open reduction with internal fixation of the displaced articular surface is preferred.
大多角骨体骨折并不常见。本文报告了10例此类病例。它们可能与其他腕骨或掌骨骨折相关,可能需要特殊的影像学检查来诊断。损伤机制似乎并不一致。基于所确定的五种骨折形态提出了一种分类系统。对于移位的关节面,首选切开复位内固定术。