桡腕关节骨折伴脱位诊疗研究进展

Research progress in the diagnosis and treatment of radiocarpal fracture‑dislocation

桡腕关节骨折伴脱位(RFD)是一种罕见的损伤,常合并骨、关节及韧带多个结构的破坏,若诊疗不当将引起严重并发症、影响远期腕关节功能。准确诊断、识别及修复具体损伤的结构是临床诊疗的难点。目前国内外有关RFD的临床诊疗文献多为个案或系列病例研究,少有大宗病例的研究,导致临床上对RFD的规范诊疗仍缺乏系统的认识,诊断时易漏诊或误诊,治疗时易出现方法不当、修复不够全面等诸多问题。因此,笔者就RFD的特点、诊断及治疗等方面进行综述,以期为RFD的临床诊疗提供参考。

Radiocarpal fracture‑dislocation(RFD)is a rare injury normally associated with the destruction of bones,joints and ligaments.The improper diagnosis and treatment of RFD will cause severe complications and affect the long‑term function of wrist joints.The difficulties of clinical diagnosis and treatment lie in the accurate diagnosis,identification and reconstruction of the structure of specific injury.As the foreign and domestic literatures are mainly case analyses or systemic case reports rather than large‑scale reports,there still lacks a systemic knowledge of the standard diagnosis and treatment of RFD clinically,thus leading to problems such as missed diagnosed or misdiagnosed,improper application of treatment methods and incomplete reconstruction.Therefore,the authors reviewed relevant literatures about the features,diagnosis and treatment of RFD,in order to provide references for the clinical diagnosis and treatment of RFD.