月骨周围损伤的流行病学特点分析
An epidemiological study of perilunate injuries
目的 了解并分析月骨周围损伤的流行病学特点.方法 对2012年11月至2014年10月北京积水潭医院住院手术的月骨周围损伤患者进行回顾性病例调查,对其中的58例患者的性别、年龄、损伤时间、机制等因素进行流行病学分析并分型.结果 58例患者平均年龄34.9岁,20~39岁常见,男女比例为6.25∶1;左手30例(51.7%),右手28例(48.2%);运动损伤7例(12.1%),步行摔伤17例(29.3%),高能量损伤34例(58.6%);其中3周内新鲜损伤43例(74.1%),陈旧损伤15例(25.9%);损伤分型:单纯月骨周围损伤21例(36.2%),经舟骨月骨周围损伤33例(56.9%),复杂型月骨周围损伤4例(6.9%).结论 月骨周围损伤主要发生在青壮年男性.高能量损伤是主要致病因素.
更多Objective To analyze the epidemiological characteristics of perilunate injuries.Methods A retrospectively investigation was conducted on the patients who were hospitalized and underwent operation in Beijing Jishuitan Hospital from November 2012 to October 2014.Epidemiological analysis and classification were carried out on 58 cases with lunate injuries,including gender,age,injury time and mechanism.Results There were 58 patients with perilunate injuries.The average age was 34.9 years.Perilunate injuries were common in the patients from 20 to 39 years old.The ratio of male to female was 6.25∶1.There were 30 cases in left hand (51.7%) and 28 cases in right hand (48.2%).7 cases were caused by sports injury (12.1%),17 cases by walking falls (29.3%),and 34 cases by high energy injury (58.6%).Among them,fresh injury within 3 weeks occtared in 43 cases (74.1%),old injury in 15 cases (25.9%).Injury classification:there were 21 cases with lunate injuries (36.2%),33 cases with scaphoid injuries (56.9%),and 4 cases with complex lunate injuries (6.9%).Conclusion Patients with perilunate injuries are mostly young males.High energy injury is the major pathogenic factor.
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