摘要
目的 介绍治疗舟骨旋转性半脱位 (rotatorysubluxationofthescaphoid ,RSS)的新术式。方法 根据临床表现及病因 ,舟骨旋转性半脱位分为 5型 ,I型 (动态前期型 ) 1例 ,Ⅱ型 (动态型 ) 2例 ,Ⅲ型 (静态型 ) 7例 ,Ⅳ型 (退行性型 ) 3例 ,Ⅴ型 (继发型 ) 5例。 18例患者入院后均行舟骨、大、小多角骨局限性腕骨融合术 (scapho trapezio trapezoeidarthrodesis ,STT融合术 )。结果 术后随访 6个月～ 3年 ,18例的舟骨旋转性半脱位均得到纠正 ,并获得满意的骨融合。腕痛均消失 ,握力平均恢复至健侧的 90 % ,腕关节活动范围平均恢复至健侧的 62 %。结论 舟骨、大、小多角骨局限性腕骨融合术是一种治疗慢性、静态性舟骨旋转性半脱位的可靠。
Objective To introduce a new procedure for treatment of rotatory subluxation of the scaphoid. Methods Eighteen patients with rotatory subluxation of the scaphoid were divided into five types according to clinical manifestation and cause:type Ⅰ (predynamic ) 1 case, type Ⅱ (dynamic) 2 cases, type Ⅲ (static ) 7 cases, type IV (degenerative )3 cases, type V (secondary) 5 cases. All cases underwent scapho trapezio trapezoid limited wrist arthrodesis. Results The follow up ranged from 6 months to 3 years. The results showed that the all rotatory subluxation of scaphoid in the study had been corrected with satisfactory fusion and painless wrist The average grip strength was 90% of the normal wrist, and the average range of motion was 62% of the opposite side. Conclusion Scapho trapezio trapezoid limited arthrodesis is a reliable and useful procedure for treatment of chronic and static rotatory subluxation of the sacphoid.
出处
《中华手外科杂志》
CSCD
2003年第1期2-4,共3页
Chinese Journal of Hand Surgery
关键词
局限性腕骨融合术
舟骨旋转性半脱位
腕骨脱位
Carpal bones
Dislocations
Rotatory subluxation of the scaphoid
Limited wrist arthrodesis
