Zilch H
Z Orthop Ihre Grenzgeb. 1985 Jan-Feb;123(1):60-6. doi: 10.1055/s-2008-1045109.
There is given a survey of recent findings of the biomechanics of the carpal bones of which the complex of the os scaphoideum, lunatum and capitatum has the key role. The mechanism of injury and posttraumatic instability of the wrist are presented. Rare injuries like subluxation of the os scaphoideum with DISI instability, "scapho-capitate fracture" syndrome, and perilunar dislocation associated with scaphoid fracture (de Quervain) with a proximal fragment of the scaphoid which is turned over about 180 and 90 degrees, are reported in form of clinical cases. In case of subluxation of the os scaphoideum the operation described by Dobyns is recommended, using a split of ECRB tendon for dorsal ligament reconstruction.
本文综述了腕骨生物力学的近期研究成果，其中舟骨、月骨和头状骨复合体起关键作用。阐述了腕部损伤机制及创伤后不稳定情况。以临床病例形式报告了罕见损伤，如伴有背伸不稳定的舟骨半脱位、“舟头骨折”综合征、与舟骨骨折（de Quervain 骨折）相关的月骨周围脱位，且舟骨近端骨折块翻转约180度和90度。对于舟骨半脱位，建议采用 Dobyns 描述的手术方法，利用桡侧腕短伸肌腱劈开进行背侧韧带重建。
