Mesh : Male Humans Adult Suture Anchors Upper Extremity Lunate Bone / diagnostic imaging surgery Hand Fractures, Bone / diagnostic imaging surgery

来  源:   DOI:10.2106/JBJS.CC.23.00205

Abstract:
A 26-year-old right-hand-dominant man sustained a left transradial, translunate perilunate injury after motor vehicle collision. The proximal lunate fractured a primarily cartilaginous 15 × 15 mm osteochondral shear fragment with 40% articular surface involvement. A novel lunate fracture suture anchor fixation technique is described, which led to fracture healing. The radial styloid was treated with a single screw.
Translunate perilunate injuries involving the lunate proximal articular surface are rare. Treatment recommendations are limited to case reports. Suture anchor fixation led to stable fixation and fracture healing at the final 6-month postoperative follow-up.
摘要:
一名26岁的右手占优势的男子维持了左桡动脉,机动车碰撞后的跨月性早发损伤。月近端骨折主要是软骨性15×15mm骨软骨剪切碎片,关节面受累40%。描述了一种新颖的月骨骨折缝合锚钉固定技术,导致骨折愈合。用单个螺钉处理桡骨茎突。
涉及月骨近端关节面的平移心形损伤很少见。治疗建议仅限于病例报告。缝合锚固定导致稳定的固定和骨折愈合在最后6个月的术后随访。
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