Rosenthal D I, Schwartz M, Phillips W C, Jupiter J
AJR Am J Roentgenol. 1983 Jul;141(1):113-6. doi: 10.2214/ajr.141.1.113.
Review of 190 consecutive fractures of the distal radius revealed 14 instances of ligamentous carpal instability (7.4%). Instability was more likely to occur in older patients but was not related to the degree of fracture displacement. There was an association between instability and radial styloid fracture, and in five of nine Colles fractures a separate radial styloid fragment was present, suggesting a component of avulsive force. The relatively common coexistence of fracture and instability is not generally appreciated, and the findings of instability often are overlooked.
对190例桡骨远端连续骨折的回顾显示,有14例出现腕关节韧带不稳定(7.4%)。不稳定更易发生于老年患者,但与骨折移位程度无关。不稳定与桡骨茎突骨折之间存在关联,在9例科雷氏骨折中有5例存在单独的桡骨茎突骨折块,提示存在撕脱力因素。骨折与不稳定相对常见的并存情况通常未得到充分认识,而且不稳定的表现常常被忽视。