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[多发伤情况下腕关节舟月头骨脱位骨折]

[Scaphocapitate dislocation-fracture of the wrist joint in the setting of multiple injury].

作者信息

Peters A, Plesch J, Schacht U

机构信息

Klinik für Allegemeine und Unfallchirurgie, Prosper-Hospital, Recklinghausen.

出版信息

Chirurg. 1997 Nov;68(11):1187-9. doi: 10.1007/s001040050343.

Abstract

Scaphocapitate fracture syndrome (SCFS) as part of perilunar distortion injuries (PL, PLF) in the human wrist is still remarkably rare. The diagnosis is determined by careful physical and radiological examinations, including conventional radiographs. Computed tomography can be helpful in detecting such lesions. In our opinion, the high risk of post-traumatic arthrosis because of carpal instability in a osteoligamental injury requires operative reconstruction in nearly all cases. We report the possibility of operative treatment in a case of scaphocapitate fracture syndrome (Fenton) by implantation of 2-mm mini-bone screws, while the use of K-wires or Herbert bone screws has been described in former articles.

摘要

舟月头骨骨折综合征(SCFS)作为人类腕关节月周畸形损伤(PL,PLF)的一部分仍然极为罕见。诊断需通过仔细的体格检查和影像学检查来确定,包括传统的X线片。计算机断层扫描有助于检测此类损伤。我们认为,由于骨韧带损伤导致腕关节不稳定而引发创伤后关节炎的高风险,几乎在所有病例中都需要进行手术重建。我们报告了一例通过植入2毫米微型骨螺钉治疗舟月头骨骨折综合征(芬顿型)的手术可能性,而此前的文章中曾描述过使用克氏针或赫伯特骨螺钉。

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