《中国康复理论与实践》

《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (08): 498-499.

• 临床研究 • 上一篇    下一篇

7例老年月骨无菌性坏死临床评估

蓝桂森1; 张懿1; 徐中和2   

  1. 1.东莞市中医院骨二科 广东东莞市 523000;2.广州市第一人民医院骨科 广东广州市 510080
  • 收稿日期:2004-04-12 出版日期:2004-08-25 发布日期:2004-08-25

Clinical evaluation of 7 cases of elderly Kienbock's disease

LAN Gui-sen, ZHANG Yi, XU Zhong-he   

  1. Department of Orthorpaedics,Dongguan Traditional Chinese Medicine Hospital, Dongguan 523000, Guangdong, China
  • Received:2004-04-12 Published:2004-08-25 Online:2004-08-25

PDF (PC)

摘要： 目的探讨60岁以上月骨无菌性坏死患者的病变特点。方法对7例老年月骨无菌性坏死患者分别采用患腕关节夹板周期性制动加超短波疗法(2例)、局部用药(4例)和月骨切除术(1例)治疗。通过随访(平均2.9年),分析老年月骨无菌性坏死的病变特点及疗效。结果本组患者女性多于男性,发病年龄60—70岁,最常见于手工业工人的优势手,尺骨变化的阴性率较低,所有患者均有腕骨塌陷的影像学表现。结论老年月骨无菌性坏死的病因学不同于普通的月骨无菌性坏死,康复性治疗及外科处理效果好。

关键词: 老年患者, 病因学, 月骨无菌性坏死, 骨质疏松

Abstract: ObjectiveTo investigate the characteristics of Kienbock's disease in patients older than 60 years of age.MethodsGender, age at onset, affected side, dominant hand, occupation, and clinical results in 7 wrist of 7 elderly patients with Kienbock's disease were investigated.ResultsKienbock's disease in elderly patients commonly was observed in the dominant hand of manual works and was found more often in women than in men. The age at onset was from 60 to 70. Although radiographic examination revealed development of carpal collapse in all patients.ConclusionThe etiologic factors different from conventional ones might have played a role in aged patients with Kienbock's disease, surgical and rehabilitation treatments are good or excellent.

Key words: elderly patients, etiology, Kienbock's disease, osteoporosis