经舟状骨骨折月骨周围腕骨脱位误漏诊原因及诊断方法探讨  

The Diagnosis Study of Trans Scaphoid Perilunar Dislocations of Carpus

作　　者：黄长明[1] 杨立民[1] 童星杰[1] 邓建龙[1] 张新合[1] 王建雄[1] 沈瑞群[1] 

机构地区：[1]解放军第174医院骨科,厦门市361003

出　　处：《骨与关节损伤杂志》2001年第4期273-275,共3页The Journal of Bone and Joint Injury

摘　　要：目的　探讨经舟状骨骨折月骨周围腕骨脱位的损伤病理变化和诊断的关系。方法　回顾性分析 1989年来收治的 6例经舟状骨骨折月骨周围腕骨脱位患者 ,年龄 18～ 2 7岁 ,其中高处坠落伤 2例 ,骑摩托车摔伤 2例 ,跑步摔伤 1例 ,机器压伤 1例。结果　本组中 5例误漏诊 ,时间达 7～ 2 7d。结论　月骨和舟状骨骨折近端解剖位置正常 ,其他腕骨全部脱位命名为经舟状骨骨折月骨周围腕骨脱位更符合损伤病理变化。了解致伤机制、掌握腕部X线解剖 ,对减少本病误漏诊至关重要。Objective To probe the relationship between the injury pathological change and diagnosis of tans scaphoid perilunar dislocations of carpus.Methods A retrospective study was done in six patients with trans scaphoid perilunar dislocations of carpus since 1989.Age of the patients range 18 to 27 years.Two of the injuries were sustained in fall from a height,two resulted from a motor vehicle accident,and others resulted from other causes.Results Five patients were missed diagnosis from 7 to 27 days.Conclusion It is more conform to mechanism of injury to be difined as trans scaphoid perilunar dislocations of carpus,which the scaphoid bone is fractured and its proximal half remained attached to the lunate bone,in normal relationship with the radius.Understanding mechanism of injury and grasping X ray anatomy are key to decrease misdiagnosis of trans scaphoid perilunar dislocations of carpus.

关 键 词：经舟状骨骨折 月骨周围腕骨部位 诊断 误诊 漏诊 

分 类 号：R683.41[医药卫生—骨科学] R684.7[医药卫生—外科学]