Jasmine M S, Packer J W, Edwards G S
Division of Orthopaedics, University of North Carolina School of Medicine, Chapel Hill.
J Hand Surg Am. 1988 Mar;13(2):212-5. doi: 10.1016/s0363-5023(88)80050-9.
Two cases of irreducible trans-scaphoid perilunate dislocation are described. In each case there was soft tissue interposition between the proximal and distal elements of the fracture-dislocation and this prevented capitolunate and scaphoid reduction. The dorsal capsule was impaled on the distal scaphoid fragment in one case, and a flap of dorsal capsule was entrapped between the capitate and the lunate in the other. In light of these findings, we recommend a dorsal approach for open reduction of trans-scaphoid perilunate dislocation when the capitolunate joint cannot be reduced by closed manipulation.
本文描述了两例不可复位的经舟骨月骨周围脱位病例。在每例病例中，骨折脱位的近端和远端之间均存在软组织嵌入，这阻碍了头月关节和舟骨的复位。其中一例中，背侧关节囊刺入舟骨远端骨折块，另一例中，一块背侧关节囊瓣卡在头状骨和月骨之间。鉴于这些发现，我们建议当闭合手法不能复位头月关节时，采用背侧入路切开复位经舟骨月骨周围脱位。
