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经舟骨月骨脱位:罕见损伤病例报告

Trans-scaphoid Lunate Dislocation Rare Injury: A Case Report.

作者信息

Alshehri Dhafer, Mousa Aishah, Al Ahmadi Basim

机构信息

Orthopaedic Surgery, Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah, SAU.

Orthopaedics, King Fahad Hospital, Jeddah, SAU.

出版信息

Cureus. 2023 Aug 24;15(8):e44072. doi: 10.7759/cureus.44072. eCollection 2023 Aug.

DOI:10.7759/cureus.44072
PMID:37750144
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10517882/
Abstract

Lunate dislocations are complex and uncommon wrist injuries, often resulting from high-energy trauma like road traffic accidents, falls, and industrial mishaps. Timely diagnosis and appropriate surgical management are critical to achieving favorable outcomes and minimizing long-term disability. Here, we present a case of a 22-year-old male who sustained a trans-scaphoid lunate fracture dislocation due to a motorcycle accident. Prompt wrist x-ray evaluation and subsequent surgical interventions led to the successful restoration of wrist function and stability. This case report highlights the importance of early recognition and discusses the accurate diagnosis and timely management of lunate fracture dislocations to avoid long-term complications and disability.

摘要

月骨脱位是复杂且罕见的腕部损伤,通常由高能创伤引起,如道路交通事故、跌倒和工业事故。及时诊断和适当的手术治疗对于取得良好疗效和最大限度减少长期残疾至关重要。在此,我们报告一例22岁男性因摩托车事故导致经舟骨月骨骨折脱位的病例。及时的腕部X线评估及随后的手术干预成功恢复了腕部功能和稳定性。本病例报告强调了早期识别的重要性,并讨论了月骨骨折脱位的准确诊断和及时治疗,以避免长期并发症和残疾。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e412/10517882/534b13f9289f/cureus-0015-00000044072-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e412/10517882/a0050d68c9b3/cureus-0015-00000044072-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e412/10517882/f7cce9fa9db1/cureus-0015-00000044072-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e412/10517882/817a6847075f/cureus-0015-00000044072-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e412/10517882/534b13f9289f/cureus-0015-00000044072-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e412/10517882/a0050d68c9b3/cureus-0015-00000044072-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e412/10517882/f7cce9fa9db1/cureus-0015-00000044072-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e412/10517882/817a6847075f/cureus-0015-00000044072-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e412/10517882/534b13f9289f/cureus-0015-00000044072-i04.jpg

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本文引用的文献

1
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Orthop Traumatol Surg Res. 2022 Sep;108(5):103332. doi: 10.1016/j.otsr.2022.103332. Epub 2022 May 21.
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Perilunate Injury Timing and Treatment Options: A Systematic Review.月骨周围损伤的时机与治疗选择:一项系统综述
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Perilunate Injuries: Current Aspects of Management.月骨周围损伤:治疗管理的当前方面。
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Orthop Traumatol Surg Res. 2021 Sep;107(5):102973. doi: 10.1016/j.otsr.2021.102973. Epub 2021 May 27.
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Dual-Energy CT for Suspected Radiographically Negative Wrist Fractures: A Prospective Diagnostic Test Accuracy Study.双能 CT 对疑似影像学阴性腕骨骨折的诊断价值:一项前瞻性诊断准确性研究。
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