Müller K, Kreitner K F, Wenda K
Klinik mit Poliklinik für Radiologie, Johannes Gutenberg-Universität Mainz.
Aktuelle Radiol. 1995 Sep;5(5):328-30.
The isolated traumatic dislocation of the triquetrum is an extremely rare injury. The clinical signs are unspecific. Roentgenograms of the wrist in posteroanterior and lateral views, possibly complemented by oblique views, will help to provide the diagnosis. The best therapy appears to be the open reduction and fixation with Kirschner wires. With the presented case report, the difficulties in using the classification carpal injuries are discussed. Finally, corresponding to the carpus ring theory, the plausibility of additional injuries to carpal ligaments in such trauma is pointed out.
月骨孤立性创伤性脱位是一种极为罕见的损伤。临床体征不具有特异性。腕关节的正位和侧位X线片，可能辅以斜位片，将有助于做出诊断。最佳治疗方法似乎是切开复位并用克氏针固定。通过所呈现的病例报告，讨论了应用腕骨损伤分类的困难。最后，对应腕骨环理论，指出了此类创伤中腕骨韧带附加损伤的合理性。
