PATTERN OF SCAPHOID FRACTURE UNION DETECTED BY MACRORADIOGRAPHY

被引：7

作者：

NICHOLL, JE ^{[1
]}

SPENCER, JD ^{[1
]}

BUCKLANDWRIGHT, JC ^{[1
]}

机构：

[1] UNITED MED & DENT SCH,GUYS HOSP,DIV ANAT & CELL BIOL,LONDON SE1 9RT,ENGLAND

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1995年 / 20B卷 / 02期

关键词：

D O I：

10.1016/S0266-7681(05)80048-8

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Stereoscopic macroradiography was used to study the pattern of union of scaphoid fractures. Of 21 patients who had partial union of a scaphoid fracture, 13 united on the ulnar side and five on the radial side only. In three it was on both sides but delayed in the centre. Where there was initial union on the ulnar side, all progressed to complete union, including two patients with displaced fractures. Four out of five patients with initial union on the radial side had displaced fractures, and three of these went on to non-union. We conclude that in those patients with partial union of a scaphoid fracture, if union is seen on the ulnar side, the fracture is likely to unite completely, whereas if there is partial union on the radial side, there is a high risk of non-union.

引用

页码：189 / 193

页数：5

共 9 条

[1]

BARTON N.J., Twenty questions about scaphoid fractures, Journal of Hand Surgery, 17B, pp. 289-310, (1992)

[2]

BUCKLAND-WRIGHT J.C., A new high-definition microfocal X-ray unit, British Journal of Radiology, 62, pp. 201-208, (1989)

[3]

BUCKLAND-WRIGHT J.C., BRADSHAW C.R., Clinical applications of high-definition microfocal radiography, British Journal of Radiology, 62, pp. 209-217, (1989)

[4]

DIAS J.J., TAYLOR M., THOMPSON J., BRENKEL I.J., GREGG P.J., Radiographic signs of union of scaphoid fractures: An analysis of inter-observer agreement and reproducibility, Journal of Bone and Joint Surgery, 70B, pp. 299-301, (1988)

[5]

HERBERT T.J., Barton N.J., Scaphoid Fractures: Operative Treatment, Fractures of the Hand and Wrist, pp. 220-235, (1988)

[6]

LESLIE I.J., DICKSON R.A., The fractured carpal scaphoid: Natural history and factors influencing outcome, Journal of Bone and Joint Surgery, 63B, pp. 225-230, (1981)

[7]

SAFFAR P., Carpal Injuries, pp. 91-112, (1990)

[8]

SCHERNBERG F., ELZEIN F., GERARD Y., Étude anatomoradiologique des fractures du scaphoide carpien. Problèmes des cals vicieux, Revue de Chirurgie Orthopédique, 70, pp. 55-63, (1984)

[9]

TALEISNIK J., The Writ, pp. 105-148, (1985)

← 1 →