腕骨脱位影像诊断中若干问题探讨

发布时间：2018-05-18 05:17

本文选题：腕关节 + 腕骨　；参考：《临床放射学杂志》2015年03期

【摘要】：目的探讨腕骨脱位的分型及命名、骨折与脱位的关系及其影像学检查方法。方法 56例腕骨脱位患者均摄有腕关节正侧位片,其中16例行64排CT扫描及重组;综合分析影像表现并进行诊断分型。结果月骨脱位9例,月骨周围脱位19例,经舟骨月骨周围脱位16例,月骨和半舟骨脱位2例,舟骨-月骨周围脱位1例,其他腕骨脱位9例。其中34例伴有至少一处撕脱骨折。16例行平片及CT检查,平片显示撕脱骨折8例12处,未明确骨折部位2处,漏诊豆状骨脱位1例;CT示撕脱骨折11例21处,对骨折部位及脱位诊断均正确。结论腕骨脱位类型多而复杂,应根据脱位及骨折具体情况进行分型及命名。除脱位外应注意骨折的诊断及骨折与脱位的关系。对于较复杂的骨折脱位CT扫描及重组应作为常规检查。
[Abstract]:Objective to investigate the classification and naming of carpal dislocation, the relationship between fracture and dislocation and the method of imaging examination. Methods 56 cases of carpal dislocation were taken with the lateral wrist joint, including 16 cases of 64 rows of CT scans and recombined. Comprehensive analysis of image manifestations and diagnosis classification. 9 cases of monthly bone dislocation, 19 cases of peripheral dislocation of the bone, and scaphoid month There were 16 cases of dislocation around bone, 2 cases of dislocation of the bone and half scaphoid, 1 cases of scaphoid bone dislocation around the bone and 9 cases of other carpal dislocation, of which 34 cases were accompanied by at least one.16 routine plain and CT examination, 8 cases of avulsion fracture with plain film, 12 unidentified fracture sites, 1 cases of missed diagnosis of pea bone dislocation, and 11 cases 21 of CT avulsion fracture. The diagnosis of carpal dislocation and fracture should be classified and named according to the specific conditions of dislocation and fracture. The diagnosis of fracture and the relationship between fracture and dislocation should be paid attention to except for dislocation. The CT scan and reorganization of complex fracture and dislocation should be examined as a routine examination.
【作者单位】：山东大学齐鲁医院平邑分院放射科;青岛大学附属医院介入医学中心;
【分类号】：R816.8

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