关键词: Carpal fracture Scaphoid fracture Scaphoid nonunion Wrist fracture Wrist instability

Mesh : Humans Fractures, Bone / surgery Scaphoid Bone / surgery injuries Wrist Injuries / therapy Fracture Fixation, Internal / methods Upper Extremity / injuries Hand Injuries / complications

来  源:   DOI:10.1016/j.hcl.2023.02.003

Abstract:
Scaphoid and carpal bone fractures are challenging injuries to manage and have significant functional implications. Prompt diagnosis is important and relies on systematic evaluation via history, examination, and imaging. Cross-sectional imaging is often helpful for diagnosis and treatment planning. Treatment for nondisplaced fractures is often closed but these injuries typically require prolonged immobilization and may still result in nonunion or avascular necrosis. Displaced carpal bone fractures, and those associated with carpal instability, typically require open reduction internal fixation.
摘要:
舟骨和腕骨骨折是具有挑战性的处理损伤,并具有重要的功能意义。及时诊断很重要,它依赖于历史的系统评估,考试,和成像。横断面成像通常有助于诊断和治疗计划。非移位骨折的治疗通常是闭合的,但是这些损伤通常需要长时间的固定,并且仍然可能导致骨不连或无血管坏死。移位的腕骨骨折,以及那些与腕骨不稳定有关的,通常需要切开复位内固定。
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