Department of Orthopedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Yawkey Center, Suite 2100, 55 Fruit Street, Boston, MA 02114, USA.
Department of Traumatology, British Hospital, Avenida Italia 2420, Montevideo 11600, Uruguay.
Injury. 2022 Oct;53(10):3357-3360. doi: 10.1016/j.injury.2022.07.015. Epub 2022 Jul 6.
Radiographic evidence of scapho-lunate diastasis associated with a displaced distal radius fracture has been well recognized yet the clinical significance remains in question. If left untreated, will this progress to both radiographic and clinical changes consistent with intercarpal arthritis? Using the accumulated data of over 400 surgically treated distal radius fractures in the ICUC database, 16 cases of untreated scapho-lunate diastasis were followed on an average of 8 years without evidence of progressive functional or radiographic deterioration. In 50% of these cases, incidental findings of similar scapho-lunate diastasis was noted in the opposite uninjured wrist.
影像学证据显示，舟月分离与桡骨远端骨折脱位有关，尽管如此，其临床意义仍存在争议。如果不治疗，舟月间隙是否会逐渐发展为符合腕骨间关节炎的影像学和临床改变？通过对 ICUC 数据库中超过 400 例手术治疗的桡骨远端骨折患者的数据进行累积分析，对 16 例未经治疗的舟月分离患者进行了平均 8 年的随访，并未发现其功能或影像学恶化有进展的迹象。在这些病例中，有 50%的患者在对侧未受伤的手腕中发现了类似的舟月分离的偶发发现。
