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[月骨周围脱位]

[Perilunate dislocations].

作者信息

Asmus A, Harhaus-Wähner L, Eichenauer F

机构信息

Klinik für Hand‑, Replantations- und Mikrochirurgie, BG-Klinikum Unfallkrankenhaus Berlin, Charité - Universitätsmedizin Berlin, Warener Str. 7, 12683, Berlin, Deutschland.

出版信息

Unfallchirurgie (Heidelb). 2025 Sep 10. doi: 10.1007/s00113-025-01621-7.

DOI:10.1007/s00113-025-01621-7
PMID:40931053
Abstract

The wrist extends anatomically and functionally from the distal forearm to the metacarpal bones and encompasses the entire carpal region. The large number of bones and joints involved are stabilized in a highly complex system of extrinsic and intrinsic ligaments, which enables a variety of different movements and stability in all positions for the best possible use of the hands. While injuries to individual ligaments or joints, most commonly the scapholunate (SL) ligament, can cause major problems the injuries associated with perilunate dislocations and dislocated fractures represent one of the greatest challenges in hand surgery.

摘要

腕部在解剖学和功能上从前臂远端延伸至掌骨,涵盖整个腕骨区域。大量的骨骼和关节通过一个由外在和内在韧带组成的高度复杂系统得以稳定,这使得在所有位置都能进行各种不同的运动并保持稳定,以便手部能得到最佳使用。虽然个别韧带或关节的损伤,最常见的是舟月(SL)韧带损伤,可能会导致严重问题,但与月骨周围脱位和脱位骨折相关的损伤是手部手术中最大的挑战之一。

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本文引用的文献

1
Lunate fractures and associated radiocarpal and midcarpal instabilities: a systematic review.月骨骨折及相关桡腕关节和腕中关节不稳:一项系统评价
J Hand Surg Eur Vol. 2018 Jan;43(1):84-92. doi: 10.1177/1753193417740850. Epub 2017 Nov 13.
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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3
Trans-scaphoid perilunate fracture-dislocation and isolated perilunate dislocations; surgical versus non surgical treatment.
经舟骨月骨周围骨折脱位与单纯月骨周围脱位;手术治疗与非手术治疗
Arch Bone Jt Surg. 2013 Dec;1(2):74-7. Epub 2013 Dec 15.
4
Perilunate Injuries, Not Dislocated (PLIND).月骨周围损伤,无脱位(PLIND)
J Wrist Surg. 2013 Nov;2(4):337-45. doi: 10.1055/s-0033-1358548.
5
Translunate perilunate injuries-a spectrum of this uncommon injury.经月骨周围脱位——这种罕见损伤的一系列情况
J Wrist Surg. 2013 Feb;2(1):63-8. doi: 10.1055/s-0032-1333064.
6
Combined perilunate and axial ulnar dislocation of the wrist.腕舟月骨联合及尺骨轴向脱位
J Wrist Surg. 2012 Nov;1(2):173-6. doi: 10.1055/s-0032-1329629.
7
[Diagnosis of lunotriquetral instability].[月三角骨间不稳定的诊断]
Handchir Mikrochir Plast Chir. 2005 Apr;37(2):131-6. doi: 10.1055/s-2004-821284.
8
The naviculo-capitate fracture syndrome.舟头状骨骨折综合征
J Bone Joint Surg Am. 1956 Jun;38-A(3):681-4.
9
Perilunate dislocations and fracture-dislocations: a multicenter study.月骨周围脱位和骨折脱位:一项多中心研究。
J Hand Surg Am. 1993 Sep;18(5):768-79. doi: 10.1016/0363-5023(93)90041-Z.
10
Carpal dislocations: pathomechanics and progressive perilunar instability.腕关节脱位:病理力学与进行性月骨周围不稳定
J Hand Surg Am. 1980 May;5(3):226-41. doi: 10.1016/s0363-5023(80)80007-4.