月骨周围关节脱位(附20例报告)

Perilunar Carpal Dislocation: A Report of 20 Cases

本文报告20例月骨周围腕骨脱位,16例获得随访,随访期从8个月至9年,6例舟状骨近侧段坏死(或合并有月骨坏死),3例舟状骨骨折不愈合,疗效差的原因归因于首诊时诊断错误,贻误治疗和腕部的局部解剖因素。在治疗上作者喜欢采用手法复位,因为其治疗结果通常优于手术复位。文内对手法复位和手术方法简要地作了讨论。作者强调正确的诊断是主要的,为此,骨科医师必须熟知本病的临床特征和放射学表现,以求早期发现。

Tweenty cases of perilunar carpal dislocation were reported. Sixteen out of the 20 cases have been followed up for the periods ranging from 8 to 9 years, in which 6 patients had avascular necrosis of the proximal fragment of scaphoid and/or lunate and 3 nonunions of the fractuerd scaphoid The poor results were attributed to such causes as mis-diagnosis, delayed treatment and local anatomic factors of the wrist, so an orthopedic surgeon should know well its clinical and radiological features and be vigilant to it. In regard to treatment, we prefer manual reduction as its effects are better than that of operation The methods of manual reduction and operation are briefly discussed.