Bilos Z J, Pankovich A M, Yelda S
J Bone Joint Surg Am. 1977 Mar;59(2):198-203.
In five patients with fracture-dislocation of a radiocarpal joint, the wrist injury was severe and associated with injuries to other systems. Typically there was neurovascular impairment and closed reduction was performed as soon as possible to relieve pressure to tension on vessels and nerves. Fracture of the radial and ulnar styloid processes, fracture of the dorsal rim of the radial articular surface, and a multitude of carpal and intercarpal injuries were present in all cases. Early open reduction, internal fixation of the fractures, and repair of all torn ligaments appeared to be the treatment of choice.
在5例桡腕关节骨折脱位患者中，腕部损伤严重，且伴有其他系统损伤。典型表现为神经血管损伤，应尽快进行闭合复位以减轻血管和神经的张力。所有病例均存在桡骨和尺骨茎突骨折、桡骨关节面背侧缘骨折以及多处腕骨和腕骨间损伤。早期切开复位、骨折内固定以及修复所有撕裂的韧带似乎是首选的治疗方法。
