月骨骨折的治疗进展  

Progress in the treatment of lunate fracture

作　　者：阿卜杜热依木·阿卜杜克热木 季佳庆 殷子越 钱继魁 樊健[1,2] ABUDUREYIMU Abudukeremu;JI Jiaqing;YIN Ziyue;QIAN Jikui;FAN Jian(Department of Orthopaedics,Tongji Hospital Affiliated to Tongji University,Shanghai 200065,China;Medical School of Tongji University,Shanghai 200092,China)

机构地区：[1]同济大学附属同济医院骨科,上海200065 [2]同济大学医学院,上海200092

出　　处：《外科研究与新技术》2024年第1期67-71,共5页Surgical Research and New Technique

基　　金：上海市科委医学创新研究专项项目(20Y11912600)。

摘　　要：月骨骨折是较为罕见的腕部骨折,通常与高能创伤有关,常伴有腕关节其他骨损伤,如舟状骨、头状骨、桡骨茎突、桡骨远端骨折等。在临床上,月骨骨折易被误诊、漏诊或采用不恰当的治疗方式,导致不愈合率较高,影响腕关节活动,严重时可导致月骨坏死、腕关节功能丧失等并发症。对于月骨骨折潜在的发病机制、治疗方法和预后,目前仍存有争议。本文从月骨的解剖学特点及损伤机制出发,对月骨骨折的分类、影像学特点及治疗方法进展进行综述,为提高月骨骨折的预后提供指导意见。Fractures of lunate bone are rare injuries of the wrist that are usually resulted from high-energy trauma and are typically accompanied by other carpal injuries,such as scaphoid bone,capitate bone,radial styloid,and distal radius fracture.Misdiagnosis,missed diagnosis or inappropriate treatment in clinical practice lead to a high nonunion rate of lunate fractures,which often affects the movement of the wrist and even leads to complications such as osteonecrosis or loss of wrist function.The potential pathogenesis,therapeutic method,and prognosis of lunate fractures are still controversial.This article reviewed domestic and foreign literature on the classification,imaging characteristics and treatment methods from the perspectives of anatomical characteristics and injury mechanism of the lunate,so as to provide guidance for improving the prognosis of lunate fractures.

关 键 词：月骨 骨折不愈合 骨坏死 腕关节损伤 

分 类 号：R683.41[医药卫生—骨科学]