Scaphocapitate fracture syndrome in a child

Patrícia Wircker; Wircker Patrícia; Teresa Alves da Silva; Alves da Silva Teresa; Rafael Dias; Диас Рафаель

doi:10.17816/PTORS79275

儿童舟头骨折综合症

作者: Wircker P.¹, Alves da Silva T.¹, Dias R.¹
隶属关系:
1. Hospital de Cascais
期: 卷 9, 编号 4 (2021)
页面: 471-476
栏目: Clinical cases
##submission.dateSubmitted##: 29.08.2021
##submission.dateAccepted##: 11.11.2021
##submission.datePublished##: 15.12.2021
URL: https://journals.eco-vector.com/turner/article/view/79275
DOI: https://doi.org/10.17816/PTORS79275
ID: 79275

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详细

背景。舟头骨折综合症涉及舟状骨和头状骨横行骨折，头状骨近端骨折块旋转90°或180°，常伴有其他腕骨脱位。是一种罕见腕关节损伤，常见于年轻男性，儿童少发。具体发病机制尚存争议。常被误诊为单纯性舟骨骨折，舟头骨骨折综合症中头状骨骨折的治疗方式存在争议。

临床病例。作者报告了一起罕见的15岁男童舟头骨折综合症病例。对舟状骨骨折和头状骨骨折实施早期开放手术复位后，获得良好的活动度，抓握力恢复正常，放射学影像检查显示两处骨愈合，未出现缺血性坏死。

讨论。许多作者同意，无论损伤的放射学影像表现如何，都应选择开放复位和内固定进行治疗。最常用的是背侧入路。头状骨骨折块通常不涉及软组织，通过对患侧实施牵引，术者可用手施加压力，相对轻松地进行复位。必须先进行头状骨复位和固定再进行舟状骨复位与固定。可用克氏针和无头螺钉从头状骨和舟状骨近端向远端进行固定。疾病进展特征为头状骨头部可能出现缺血性坏死。

结论。本病例报告表明舟头综合症可发生于儿童患者，早期诊断对及时治疗非常重要。通过使用克氏针进行开放复位和固定，我们的患者得到成功治疗。

关键词

舟头综合症, 骨折, 脱位, 儿童

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作者简介

Patrícia Wircker

Hospital de Cascais

Email: patriciawircker@gmail.com
ORCID iD: 0000-0002-2731-5868

Trauma and Orthopedic Surgery Resident

葡萄牙, Av. Brigadeiro Victor Novais Gonçalves, 2755-009 Alcabideche, Lisbon

Teresa Alves da Silva

Hospital de Cascais

Email: alvesdasilva.t@gmail.com

Trauma and Orthopedic Surgeon

葡萄牙, Av. Brigadeiro Victor Novais Gonçalves, 2755-009 Alcabideche, Lisbon

Rafael Dias

Hospital de Cascais

编辑信件的主要联系方式.
Email: rafaelrmdias@gmail.com

Trauma and Orthopedic Surgery Resident

葡萄牙, Av. Brigadeiro Victor Novais Gonçalves, 2755-009 Alcabideche, Lisbon

参考

Robbins MM, Nemade AB, Chen TB, Epstein RE. Scapho-capitate syndrome variant: 180-degree rotation of the proximal capitate fragment without identifiable scaphoid fracture. Radiol Case Reports. 2008;3(3):193. doi: 10.2484/rcr.v3i3.193
Fenton RL. The naviculo-capitate fracture syndrome. J Bone Jt Surg. 1956;38(3):681–684.
Hamdi MF. The scaphocapitate fracture syndrome: Report of a case and a review of the literature. Musculoskelet Surg. 2012;96(3):223–226. doi: 10.1007/s12306-011-0108-9
Shaikh AA, Saeed G. Fenton syndrome in an adolescent. J Coll Physicians Surg Pakistan. 2007;17(1):55–56. doi: 10.1053/jhsu.2000.18494
Sawant M, Miller J. Scaphocapitate syndrome in an adolescent. J Hand Surg Am. 2000;25:1096–1099. doi: 10.1053/jhsu.2000.18494
Stein F, Siegel M. Naviculocapitate fracture syndrome. A case report: new thoughts on the mechanism of injury. J Bone Joint Surg Am. 1969;51(2):391–395.
Scaphocapitate fracture-dislocation Chapter 13. In: Articular injury of the wrist. Ed. by M. Garcia-Elias , C.L. Mathoulin Stuttgart, New York, Delhi, Rio: Thieme Verlagsgruppe; 2014.
Kim YS, Lee HM, Kim JP. The scaphocapitate fracture syndrome: a case report and literature analysis. Eur J Orthop Surg Traumatol. 2013;23(S2):207–212. doi: 10.1007/s00590-013-1182-5
Ameziane L, Marzouki A, Souhail SM, et al. Le syndrome de Fenton ou fracture scaphocapitale (à propos d’un cas). Chir Main. 2003;22(6):318–320. (In French). doi: 10.1016/j.main.2003.09.014