de Villeneuve Bargemon Jean-Baptiste, Jaloux Charlotte, Levet Paul, Levadoux Michel
Department of Hand Surgery and Limb Reconstructive Surgery, La Timone Adultes Hospital, Aix Marseille University, Marseille, France.
Hand, Wrist and Elbow Surgery, Saint Roch Private Hospital, Toulon, France.
J Wrist Surg. 2021 Jul 19;11(4):353-357. doi: 10.1055/s-0041-1732410. eCollection 2022 Aug.
Isolated fractures of the capitate are very rare which means that their nonunion is even rarer. Repair techniques have always been performed by open surgery which may result in loss of mobility due to the capsulotomy. The typically used surgical techniques such as arthrodesis of the carpal or wrist bones can have irreversible consequences on range of motion. No arthroscopic technique has ever been described for this condition. Here, we describe a case of isolated capitate nonunion without ligament tears or other carpal fractures in a 21-year-old male, following a capitate fracture 10 years prior. We describe our arthroscopic treatment technique for this capitate nonunion.
头状骨孤立性骨折非常罕见，这意味着其骨不连更为罕见。修复技术一直通过开放手术进行，这可能由于关节囊切开术导致活动度丧失。典型的常用手术技术，如腕骨或腕关节融合术，可能对活动范围产生不可逆的影响。目前尚未有针对这种情况的关节镜技术被描述。在此，我们描述一例21岁男性，在10年前发生头状骨骨折后，出现孤立性头状骨骨不连且无韧带撕裂或其他腕骨骨折的病例。我们描述了针对这种头状骨骨不连的关节镜治疗技术。
