Palmer A K, Dobyns J H, Linscheid R L
J Hand Surg Am. 1978 Nov;3(6):507-32. doi: 10.1016/s0363-5023(78)80001-x.
A retrospective review of 55 patients with post-traumatic radioscapholunate ligament disruption suggests that rupture of this ligament can be treated successfully if certain guidelines are followed. If the rupture is seen within 4 weeks, an anatomic reduction maintained in plaster for 8 weeks leads to good results. Ligament ruptures that cannot be held in reduction or that are diagnosed after 4 weeks do poorly with immobilization only. Results after ligament reconstruction have ranged from good to fair but appear to have been sufficiently successful to warrant continued trial rather than resort to arthrodesis, proximal row carpectomy, or similar reconstructive procedures. Patients with degenerative joint disease associated with radioscapholunate rupture are not candidates for ligament reconstruction. Radial styloidectomy or some variety of wrist arthrodesis or wrist arthoplasty should be considered in these instances.
一项对55例创伤后桡舟月韧带断裂患者的回顾性研究表明，如果遵循某些指导原则，该韧带断裂可得到成功治疗。如果在4周内发现韧带断裂，通过石膏固定维持解剖复位8周可取得良好效果。无法维持复位或在4周后才确诊的韧带断裂，仅采用固定治疗效果不佳。韧带重建后的结果从良好到尚可，但似乎已足够成功，值得继续试验，而不是采用关节融合术、近排腕骨切除术或类似的重建手术。伴有桡舟月韧带断裂的退行性关节病患者不适合进行韧带重建。在这些情况下，应考虑桡骨茎突切除术或某种形式的腕关节融合术或腕关节成形术。
