经舟状骨骨折的背侧型月骨周围脱位诊治体会

Diagnosis and treatment of dorsal transscaphoid perilunar dislocation

目的分析经舟状骨骨折的背侧型月骨周围脱位的X线表现。方法8例经舟状骨骨折的背侧型月骨周围脱位,均急诊在臂丛麻醉和透视下给予手法复位。结果8例全部1次性复位成功。随访6个月～3年,无一例发生骨坏死,腕部功能无丧失。结论熟悉腕关节的正常X线表现,了解各型腕部损伤的X线特点,是正确及时诊断、治疗该型损伤的基础。

Objective To analysis the X-ray features of dorsal transscaphoid perilunar dislocation. Methods 8 cases of dorsal trasscaphoid perilunar dislocation were reduced by closed manipulation at once under brachial plexus block and X-ray when the trauma is diagnosed. Results All cases were reduced successfully in the first manipulation, the follow-up time is from six months to three years. No osteonecrosis and function lost in wrist was discovered. Conclu- sions Knowing well the normal X-ray sign of wrist, mastering the X-ray characteristic of each types of injury in wrist, is the basis of diagnosis and treatment rightly and timely of this kind of injury.