CONCOMITANT SCAPHOLUNATE DISSOCIATION AND KIENBOCKS DISEASE

被引：11

作者：

BOURNE, MH ^{[1
]}

LINSCHEID, RL ^{[1
]}

DOBYNS, JH ^{[1
]}

机构：

[1] MAYO CLIN & MAYO FDN,DEPT ORTHOPED,200 1ST ST SW,ROCHESTER,MN 55905

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1991年 / 16A卷 / 03期

关键词：

D O I：

10.1016/0363-5023(91)90014-3

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：

Six men had concurrent scapholunate dissociation and Kienbock's disease, a finding suggestive of a common cause. Five patients attributed the onset of wrist pain to a single traumatic event. Three had x-ray evidence of scapholunate dissociation before the onset of lunate osteonecrosis. Biomechanical factors that may be of significance are ulnar minus variance, lesser compliance of the triangular fibrocartilage, ulnar translation of the carpus at impact with shear fracture through the lunate, and disruption of the scapholunate interosseous membrane occurring under similar stress. Lunate osteonecrosis may depend on a susceptible vascular pattern or intraosseous injury or both. The development of lunatomalacia complicates an already unstable wrist. Treatment options vary according to the clinical stages of each condition, although contrasting treatments have not established optimal care.

引用

页码：460 / 464

页数：5

共 22 条

[11]

Mayfield, Johnson, Kilcoyne, Carpal dislocations: pathomechanics and progressive perilunar instability, J Hand Surg, 5, pp. 226-241, (1980)

[12]

Sarrafian, Melamed, Goshgarian, Study of wrist motion in flexion and extension, Clin Orthop, 126, pp. 153-159, (1977)

[13]

Taleisnik, Post-traumatic carpal instability, Clin Orthop Relat Res, 149, pp. 73-82, (1980)

[14]

Linscheid, Kienböck's disease (editorial), J Hand Surg, 10 A, pp. 1-3, (1985)

[15]

Lee, The intraosseus arterial pattern of the carpal lunate bone and its relation to avascular necrosis, Acta Orthop Scand, 33, pp. 43-55, (1963)

[16]

Gelberman, Bauman, Menon, Akeson, The vascularity of the lunate bone and Kienböck's disease, J Hand Surg, 5, pp. 272-278, (1980)

[17]

Panagis, Gelberman, Taleisnik, Baumgaertner, The arterial anatomy of the human carpus. Part II: the intraosseous vascularity, J Hand Surg, 8, pp. 375-382, (1983)

[18]

Beckenbaugh, Shives, Dobyns, Linscheid, Kienböck's disease the natural history of Kienböck's disease and consideration of lunate fractures, Clin Orthop Relat Res, 149, pp. 98-106, (1980)

[19]

Hulten, Über anatomische Variationen der Handgelenkknochen Ein Beitrag zur Kenntnis er Genese zwei Verschiedener Mondbeinvaränderungen, Acta Radiologica [Old Series], 9, pp. 155-168, (1928)

[20]

Czitrom, Dobyns, Linscheid, Ulnar variance in carpal instability, J Hand Surg, 12 A, pp. 205-208, (1987)

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