Benedetti R, Fischer M, Sennwald G R
Z Unfallchir Versicherungsmed. 1993;86(4):226-31.
Hyperextension of the wrist may induce underestimated intrinsic and extrinsic ligamentous tears. Undetected scaphoid fractures show the importance of accurate primary diagnostic. Evaluation of the anatomic and functional integrity of the ligaments of the wrist remains challenging. It requires great experience, but in any case, radiology remains the basic diagnostic tool used by both the general practitioner and the specialist. Only the use of reproducible imaging techniques will allow for comparison between healthy and pathological side as well as for follow-up. Every one should master and use standardized techniques as described in this paper. The costs bound to appropriate imaging techniques are certainly lower than the consequences of misdiagnosed ligamentous damage or carpal bone fractures. Furthermore, standardized techniques will avoid repeating radiological sessions.
腕关节过度伸展可能会导致内在和外在韧带撕裂被低估。未被检测到的舟骨骨折显示了准确初步诊断的重要性。评估腕关节韧带的解剖和功能完整性仍然具有挑战性。这需要丰富的经验，但无论如何，放射学仍然是全科医生和专科医生使用的基本诊断工具。只有使用可重复的成像技术，才能对健康侧和病变侧进行比较以及进行随访。每个人都应该掌握并使用本文所述的标准化技术。与适当的成像技术相关的成本肯定低于韧带损伤或腕骨骨折误诊的后果。此外，标准化技术将避免重复进行放射学检查。
