Epidemiology of carpal fractures: is it only about the scaphoid?

被引：4

作者：

Boeddrich, Olivia ^{[1
]}

Sander, Anna Lena ^{[1
]}

Lustenberger, Thomas ^{[2
]}

Marzi, Ingo ^{[1
]}

Frank, Johannes ^{[1
]}

Voth, Maika ^{[1
]}

Sommer, Katharina ^{[1
]}

机构：

[1] Hosp Johann Wolfgang Goethe Univ, Dept Trauma Hand & Reconstruct Surg, Theodor Stern Kai 7, D-60590 Frankfurt, Germany

[2] Kantonsspital Aarau, Dept Trauma Surg, Tellstr 25, CH-5001 Aarau, Switzerland

来源：

EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY | 2023年 / 49卷 / 03期

关键词：

Carpal fracture; Epidemiology; Conservative treatment; Operative treatment; COMPUTED-TOMOGRAPHY; BONE-SCINTIGRAPHY; PATTERNS; WRIST;

D O I：

10.1007/s00068-022-02213-5

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Because of their low incidence, studies about carpal fractures are rare. The aim of the present study was to analyze epidemiology and treatment of fractured carpal bones. We retrospectively analyzed data of 178 patients admitted to our emergency room with carpal fractures over 6 years. More males than woman were injured. In 91%, a CT scan was performed. The most commonly affected bone was the triquetrum followed by the scaphoid. Almost all triquetral fractures were treated conservatively as opposed to perilunate dislocations that were all operated on. Half of all patients with scaphoid fractures were operated. Young men had the highest risk to sustain a carpal fracture. The triquetrum and the scaphoid are most frequently affected. Usually a CT scan is needed. Treatment of scaphoid and perilunate luxation fractures is rather operative whereas the other fractures mostly allow conservative casting. Nevertheless, correct indication for treatment is important to avoid sequelae.

引用

页码：1499 / 1503

页数：5