PDF(Pubmed)
Abstract：
UNASSIGNED: Lunate fractures without associated dislocations are rare injuries, combination scaphoid-lunate fractures without an associated dislocation are even more rare of which few are reported in the literature.
METHODS: This case report describes a 16-year-old otherwise healthy male with ipsilateral scaphoid and lunate fractures after punching a goalpost with his left hand, for which he had surgical management. This patient had a successful treatment with two headless compression screws through a single extended carpal tunnel approach. Surgery was performed within two weeks of injury after initially immobilized with a thumb spica splint. The postoperative period was complicated by noncompliance with weight-bearing status and missed three-month followup. However, by six months, subsequent visits demonstrated radiographic and clinical healing as well as full wrist range of motion without any other sequelae.
UNASSIGNED: This case offers more evidence regarding this rare injury. Lunate fractures and scaphoid fractures can both be treated with open reduction and internal fixation using headless compression screws, however little evidence exists when it comes to treating them in combination.
CONCLUSIONS: The use of headless compression screws through a single extended carpal tunnel approach led to clinical and radiographic healing in a 16 year-old-male with combined scaphoid and lunate fractures at 6 month follow up.
METHODS: This case report describes a 16-year-old otherwise healthy male with ipsilateral scaphoid and lunate fractures after punching a goalpost with his left hand, for which he had surgical management. This patient had a successful treatment with two headless compression screws through a single extended carpal tunnel approach. Surgery was performed within two weeks of injury after initially immobilized with a thumb spica splint. The postoperative period was complicated by noncompliance with weight-bearing status and missed three-month followup. However, by six months, subsequent visits demonstrated radiographic and clinical healing as well as full wrist range of motion without any other sequelae.
UNASSIGNED: This case offers more evidence regarding this rare injury. Lunate fractures and scaphoid fractures can both be treated with open reduction and internal fixation using headless compression screws, however little evidence exists when it comes to treating them in combination.
CONCLUSIONS: The use of headless compression screws through a single extended carpal tunnel approach led to clinical and radiographic healing in a 16 year-old-male with combined scaphoid and lunate fractures at 6 month follow up.
摘要：
■没有相关脱位的月球骨折是罕见的损伤，无相关脱位的舟骨-月牙组合型骨折更为罕见,其中文献报道很少.
方法：本病例报告描述了一名16岁的男性，在用左手击打球门柱后，患有同侧舟骨和月骨骨折，为此他接受了手术治疗。该患者通过单个扩展的腕管入路用两个无头加压螺钉成功治疗。最初用拇指spica夹板固定后，在受伤后两周内进行了手术。术后期间因不遵守负重状态而复杂化，并错过了三个月的随访。然而,六个月后，随后的访问显示放射学和临床愈合以及完整的手腕活动范围，没有任何其他后遗症。
■此案提供了有关这种罕见伤害的更多证据。月骨骨折和舟骨骨折都可以通过切开复位和使用无头加压螺钉的内固定来治疗。然而，当谈到将它们结合起来治疗时，几乎没有证据存在。
结论：通过单一扩展腕管入路使用无头加压螺钉可在6个月随访时导致16岁男性舟骨和月骨联合骨折的临床和影像学愈合。
方法：本病例报告描述了一名16岁的男性，在用左手击打球门柱后，患有同侧舟骨和月骨骨折，为此他接受了手术治疗。该患者通过单个扩展的腕管入路用两个无头加压螺钉成功治疗。最初用拇指spica夹板固定后，在受伤后两周内进行了手术。术后期间因不遵守负重状态而复杂化，并错过了三个月的随访。然而,六个月后，随后的访问显示放射学和临床愈合以及完整的手腕活动范围，没有任何其他后遗症。
■此案提供了有关这种罕见伤害的更多证据。月骨骨折和舟骨骨折都可以通过切开复位和使用无头加压螺钉的内固定来治疗。然而，当谈到将它们结合起来治疗时，几乎没有证据存在。
结论：通过单一扩展腕管入路使用无头加压螺钉可在6个月随访时导致16岁男性舟骨和月骨联合骨折的临床和影像学愈合。
