Trumble T E, Benirschke S K, Vedder N B
University of Washington School of Medicine, Seattle 98195.
J Hand Surg Am. 1993 Jan;18(1):8-14. doi: 10.1016/0363-5023(93)90237-W.
From 1985 to 1990, six patients were treated for ipsilateral fractures of the scaphoid and radius. All these injuries resulted from falls from a substantial height, with multiple injuries occurring in all patients. Two of the patients had minimally displaced fractures (1.0 mm), whereas the other four patients had moderately displaced scaphoid fractures (2.0 mm). The treatment for fracture of the distal radius was dependent on the fracture type, but all the scaphoid fractures were treated with internal fixation. All the fractures united, with the radial fractures healing in 6 weeks and the scaphoid fractures healing in an average of 13 weeks. The follow-up time averaged 2.9 years (range, 1.0 to 4.6 years). Internal fixation of the scaphoid in these combined injuries allowed for earlier and more aggressive therapy to maximize wrist and forearm motion.
1985年至1990年期间，6例患者接受了舟骨和桡骨同侧骨折的治疗。所有这些损伤均因从高处坠落所致，所有患者均伴有多处损伤。其中2例患者为轻度移位骨折（1.0毫米），而其他4例患者为中度移位舟骨骨折（2.0毫米）。桡骨远端骨折的治疗取决于骨折类型，但所有舟骨骨折均采用内固定治疗。所有骨折均愈合，桡骨骨折在6周内愈合，舟骨骨折平均在13周内愈合。随访时间平均为2.9年（范围为1.0至4.6年）。在这些合并损伤中，舟骨内固定可使治疗更早且更积极，以最大限度地恢复腕关节和前臂的活动度。
