Frobenius H, Spier W
Unfallchirurgie. 1983 Feb;9(1):23-30.
Carpal fractures and dislocations are rare. Pitfalls in the diagnosis of these injuries are quite common failures. A follow up study in 10 patients with carpal injuries was done. Good results were found in five patients. These had been treated within 2-3 weeks. Another 5 patients had not been operated earlier than 2-17 months after the injury. In these cases the results were poor, because either the lunate must be removed or replaced by a prosthesis or was destroyed by avascular necrosis. The possibilities of early diagnosis and the methods of therapy are discussed.
腕骨骨折和脱位较为罕见。这些损伤诊断中的陷阱是相当常见的失误。对10例腕骨损伤患者进行了随访研究。5例患者取得了良好效果。这些患者在伤后2至3周内接受了治疗。另外5例患者在受伤后2至17个月才接受手术。在这些病例中，结果较差，因为要么必须切除月骨，要么用假体替代，要么月骨因缺血性坏死而被破坏。本文讨论了早期诊断的可能性和治疗方法。
