摘要
腕舟骨骨折在腕骨骨折中最为常见,腕舟骨一旦骨折很容易发生骨不连,其骨不连致病因素大致包括生物力学因素、血供因素及医源性因素。骨不连未经治疗将导致腕关节退行性关节炎,临床的确诊主要依靠X线片,CT与MRI相对于X线能够更好地评估骨缺损与血液供应情况。治疗方法的选择多种多样,包括单纯经皮固定术、切开减压内固定术、带血管蒂或者不带血管蒂植骨术等。
The scaphoid is the most common carpal to fracture. Fractured scaphoid easily leads to nonun- ion. Biomechanics,blood circulation and clinical factors contribute to the development of nonunion. If nonunion is untreated,it can lead to degenerative wrist arthritis. Nonunion is mainly diagnosed by X-rays,but CT or MRI scans can be more useful to assess deformity and blood supply. Treatment options vary from percutaneous fixation to open reduction and internal fixation with vascularized or non-vascularized bone grafting and so on.
出处
《创伤外科杂志》
2013年第3期271-273,共3页
Journal of Traumatic Surgery
关键词
舟骨骨折
骨不连
治疗
scaphoid fracture bone nonunion
treatment
