Bonnevialle P, Mansat M, Railhac J J, Rongières M, Gay R
Service de Chirurgie Orthopédique et Traumatologique, Hôpital Purpan, Toulouse.
Ann Chir Main. 1987;6(2):89-97. doi: 10.1016/s0753-9053(87)80020-0.
Degenerative arthritis is a frequent pattern after old fractures or rotatory subluxations of the scaphoid. The authors have studied this phenomenon, on 48 wrists. In old scaphoid fractures, the degenerative arthritis begins with an impingement between radial styloid process and proximal pole of the scaphoid, and then reaches the lunocapitate joint. A dorsi flexion by instability is then constant. After a scaphoid subluxation, degenerative arthritis begins between scaphoid and radial epiphysis too, but arthritis in these cases, is earlier and more symptomatic. We found two types of wrists: the sequellae of the post-traumatic scapholunate diastasis and the peri-scaphoid arthritis "primary in appearance", which corresponds to the scapholunate advanced collapsed pattern of A.K. Watson.
退行性关节炎是舟骨陈旧性骨折或旋转半脱位后的常见表现形式。作者对48例腕关节进行了此项研究。在舟骨陈旧性骨折中，退行性关节炎始于桡骨茎突与舟骨近端之间的撞击，随后累及月头关节。因不稳定而导致的背屈持续存在。舟骨半脱位后，退行性关节炎也始于舟骨与桡骨骨骺之间，但这些病例中的关节炎出现得更早且症状更明显。我们发现了两种类型的腕关节：创伤后舟月间隙分离的后遗症以及“外观上原发性的”舟骨周围关节炎，这与A.K. 沃森提出的舟月关节晚期塌陷模式相对应。
