학술논문
월상골 주위 탈구 및 골절-탈구
Perilunate Dislocation and Perilunate Fracture-Dislocation
Perilunate Dislocation and Perilunate Fracture-Dislocation
Document Type
Article
Author
Source
대한골절학회지 / The Journal of the Korean Society of Fractures. Jul 25, 2022 35(3):114
Subject
Language
Korean
ISSN
1225-1682
Abstract
월상골 주위 탈구 및 골절-탈구는 고에너지 손상으로 손목관절의 안정성에 기여하는 연부조직 및 골성조직의 손상을 포함하는 손상이다. 단순 방사선 사진을 자세히 검토하여 빠르게 진단하는 것이 무엇보다 중요하다. 진단 후에는 가능한 한 빨리 도수 정복을 시도하는 것이 좋으며, 정복 후에는 수배부 혹은 수배부, 수장부 동시 접근을 통해 인대 봉합 및 골편 고정을 시행하는 것이 좋다. 현재까지는 적절한 치료에도 불구하고 어느 정도의 관절운동의 제한 및 악력 감소의 발생은 피할 수 없다. 그럼에도 빠른 진단 및 정복, 적절한 인대 봉합 및 골절 고정이 좋은 임상 결과를 얻기 위해 중요하다.
Perilunate dislocations and perilunate fracture-dislocations are one of the most severe forms of wrist injuries and are generally caused by high-energy trauma such as falls from a height or traffic accidents. Prompt recognition and immediate, gentle closed reduction are critical, but diagnosis can often be missed at the initial presentation. The current standard management is open reduction, ligamentous and bony repair, and supplemental fixation for the protection of the repair. The pathomechanics of the injury, diagnosis by plain wrist radiographs, closed reduction techniques, current surgical treatments, and complications are presented in this review.
Perilunate dislocations and perilunate fracture-dislocations are one of the most severe forms of wrist injuries and are generally caused by high-energy trauma such as falls from a height or traffic accidents. Prompt recognition and immediate, gentle closed reduction are critical, but diagnosis can often be missed at the initial presentation. The current standard management is open reduction, ligamentous and bony repair, and supplemental fixation for the protection of the repair. The pathomechanics of the injury, diagnosis by plain wrist radiographs, closed reduction techniques, current surgical treatments, and complications are presented in this review.