桡骨远端骨折后腕关节不稳定的临床重要性。

The clinical importance of carpal instabilities following distal radial fractures.

作者信息

Stoffelen D, De Mulder K, Broos P

机构信息

Department of Traumatology and Reconstructive Surgery, University Hospital Gasthuisberg, Leuven, Belgium.

出版信息

J Hand Surg Br. 1998 Aug;23(4):512-6. doi: 10.1016/s0266-7681(98)80135-6.

DOI:10.1016/s0266-7681(98)80135-6

PMID:9726557

Abstract

A prospective study was undertaken to determine the clinical importance of the different carpal instabilities following dorsally displaced distal radial fractures (Colles' type). All patients were followed for 1 year and a Cooney score and X-ray evaluation were done. Nine different carpal instabilities were evaluated. Only dissociative DISI and ulnar translocation showed significant clinical differences at 1 year follow-up. It is therefore recommended that a dissociative DISI, usually caused by scapholunate dissociation, should be treated by percutaneous pinning at the time of the initial treatment.

摘要

开展了一项前瞻性研究，以确定桡骨远端背侧移位骨折（科雷氏骨折类型）后不同腕骨不稳定的临床重要性。所有患者均随访1年，并进行了库尼评分和X线评估。评估了9种不同的腕骨不稳定情况。在1年随访时，仅分离性DISI和尺骨移位显示出显著的临床差异。因此，建议对于通常由舟月骨分离引起的分离性DISI，应在初始治疗时采用经皮穿针固定治疗。