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月骨周围不稳定:一种罕见的变异类型。

Perilunate instability: A rare variant.

作者信息

Partap Amanda, Persad Ian James

机构信息

Department of Orthopedics, San Fernando General Hospital, San Fernando, Trinidad.

出版信息

SAGE Open Med Case Rep. 2021 May 16;9:2050313X211016980. doi: 10.1177/2050313X211016980. eCollection 2021.

DOI:10.1177/2050313X211016980
PMID:34035923
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8132080/
Abstract

Perilunate dislocations and perilunate fracture dislocations are rare injuries that occur as a result of high energy trauma. We describe a case of a volar fracture dislocation of the proximal pole of the scaphoid with an associated scapholunate and lunotriquetral ligament disruption as well as a lunate fossa fracture of the distal radius. These injuries are serious injuries that require a high degree of clinical acumen and radiographic scrutiny to allow for prompt treatment in order to avoid the sequelae of long-term complications that can arise. This case serves as a reminder of the complexity of these injuries and their associated mechanics.

摘要

月骨周围脱位和月骨周围骨折脱位是因高能量创伤而发生的罕见损伤。我们描述了一例舟骨近端掌侧骨折脱位病例,伴有舟月和月三角韧带断裂以及桡骨远端月骨窝骨折。这些损伤较为严重,需要高度的临床敏锐度和影像学检查以实现及时治疗,从而避免可能出现的长期并发症后遗症。该病例提醒人们注意这些损伤及其相关力学机制的复杂性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3f/8132080/df2f18d5e200/10.1177_2050313X211016980-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3f/8132080/eb3d9d83e39e/10.1177_2050313X211016980-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3f/8132080/a1c8ceabaadf/10.1177_2050313X211016980-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3f/8132080/b0e812b7d4c4/10.1177_2050313X211016980-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3f/8132080/930c97542ce2/10.1177_2050313X211016980-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3f/8132080/df2f18d5e200/10.1177_2050313X211016980-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3f/8132080/eb3d9d83e39e/10.1177_2050313X211016980-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3f/8132080/a1c8ceabaadf/10.1177_2050313X211016980-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3f/8132080/b0e812b7d4c4/10.1177_2050313X211016980-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3f/8132080/930c97542ce2/10.1177_2050313X211016980-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3f/8132080/df2f18d5e200/10.1177_2050313X211016980-fig5.jpg

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