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经舟骨月骨脱位：病例系列

Trans-scaphoid lunate dislocation: A case series.

作者信息

Gjeluci Albert, Raskind Aleksandr, Dwan Bennett, Yasin Laith, Allam Emad

机构信息

Department of Radiology, Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153, USA.

Midwestern University Chicago College of Osteopathic Medicine, Downers Grove, IL, USA.

出版信息

Radiol Case Rep. 2021 Dec 15;17(3):514-520. doi: 10.1016/j.radcr.2021.11.033. eCollection 2022 Mar.

DOI:10.1016/j.radcr.2021.11.033
PMID:34976256
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8688966/
Abstract

Trans-scaphoid lunate dislocation with volar displacement into the wrist/distal forearm is a devastating injury that most commonly occurs under situations of forceful impact to an extended wrist. Due to ligamentous disruption as well as fragile blood supply, these Mayfield type 4 injuries are associated with significant morbidity and long-term sequelae. Current treatment approaches to lunate dislocations depend on the severity and chronicity of the injury in addition to patient factors, with operative management potentially including ORIF or proximal row carpectomy. We report 5 cases of this rare injury pattern in 4 different patients.

摘要

经舟骨月骨脱位伴掌侧移位至腕部/前臂远端是一种严重损伤，最常见于腕部伸展时受到强力冲击的情况下。由于韧带断裂以及血供脆弱，这些梅菲尔德4型损伤会导致显著的发病率和长期后遗症。目前针对月骨脱位的治疗方法取决于损伤的严重程度和慢性程度以及患者因素，手术治疗可能包括切开复位内固定术（ORIF）或近排腕骨切除术。我们报告了4例不同患者中出现这种罕见损伤模式的5个病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/cc12cb35a98c/gr4b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/83f1e609f702/gr1a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/575151162d06/gr1b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/9498e535378a/gr2a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/6c8a850f34e6/gr2b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/d2269cfc5328/gr2c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/4f74ca20862b/gr3a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/ea26a059a713/gr3b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/ac7ed6c2d8db/gr3c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/91c9ae887ad6/gr4a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/cc12cb35a98c/gr4b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/83f1e609f702/gr1a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/575151162d06/gr1b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/9498e535378a/gr2a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/6c8a850f34e6/gr2b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/d2269cfc5328/gr2c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/4f74ca20862b/gr3a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/ea26a059a713/gr3b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/ac7ed6c2d8db/gr3c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/91c9ae887ad6/gr4a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/8688966/cc12cb35a98c/gr4b.jpg

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本文引用的文献

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Transcapho perilunate dislocation with palmar extrusion of the scaphoid proximal pole.经舟月骨周围脱位伴舟骨近极向掌侧移位
Acta Biomed. 2016 Apr 15;87 Suppl 1:127-30.
2
Results of Perilunate Dislocations and Perilunate Fracture Dislocations With a Minimum 15-Year Follow-Up.经至少15年随访的月骨周围脱位和月骨周围骨折脱位的结果
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Trans-scaphoid-perilunate dislocation with an ulnar nerve injury.经舟骨月骨周围脱位伴尺神经损伤
舟月周围损伤的背侧跨越钢板固定：一例报告
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Open perilunate injury with lunate revascularization after complete ligamentous avulsion.完全韧带撕脱后伴有月骨血运重建的开放性月骨周围损伤。
J Surg Case Rep. 2014 May 12;2014(5):rju041. doi: 10.1093/jscr/rju041.
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