PDF(Pubmed)
Abstract：
Because of their low incidence, studies about carpal fractures are rare. The aim of the present study was to analyze epidemiology and treatment of fractured carpal bones. We retrospectively analyzed data of 178 patients admitted to our emergency room with carpal fractures over 6 years. More males than woman were injured. In 91%, a CT scan was performed. The most commonly affected bone was the triquetrum followed by the scaphoid. Almost all triquetral fractures were treated conservatively as opposed to perilunate dislocations that were all operated on. Half of all patients with scaphoid fractures were operated. Young men had the highest risk to sustain a carpal fracture. The triquetrum and the scaphoid are most frequently affected. Usually a CT scan is needed. Treatment of scaphoid and perilunate luxation fractures is rather operative whereas the other fractures mostly allow conservative casting. Nevertheless, correct indication for treatment is important to avoid sequelae.
摘要：
由于其发病率低,关于腕骨骨折的研究很少见。本研究的目的是分析腕骨骨折的流行病学和治疗方法。我们回顾性分析了我院急诊室收治的178例超过6年的腕骨骨折患者的数据。受伤的男性多于女性。在91%中，进行了CT扫描。最常见的受影响的骨骼是三角骨，其次是舟骨。几乎所有的三角骨折都经过了保守治疗，而不是所有手术的骨裂脱位。所有舟骨骨折患者中有一半进行了手术。年轻人患腕骨骨折的风险最高。三角骨和舟骨最常受到影响。通常需要CT扫描。舟骨和周围脱位骨折的治疗相当有效，而其他骨折大多允许保守铸造。然而，正确的治疗指征对于避免后遗症很重要。
