图像报告与放射学标准进行区分:脱落骨折或Os Triquetrum Secundarium?
Lyubomir Gaydarski1,2, Kristina Petrova1, Lukasz Olewnik2,3
1Department of Anatomy, Histology, and Embryology, Medical University-Sofia, Sofia, BGR.
Cureus
|November 7, 2025
概括
附属骨,如os triquetrum secundarium (OTS),是罕见的手腕变体. 在成像上识别OTS至关重要,以防止骨折的误诊和无必要的治疗关节侧手腕疼痛.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 人体解剖学 解剖学 解剖学
背景情况:
- 手腕的辅助骨是不常见的骨变体.
- 这些可能被误认为是脱落骨折,导致不必要的干预.
- 侧手腕疼痛是一种常见的抱怨,具有不同的病因.
研究的目的:
- 报告一个os triquetrum secundarium (OTS) 的病例.
- 突出区分OTS与骨折的重要性.
- 强调适当的诊断和管理策略,对腰侧手腕疼痛.
主要方法:
- 一个19岁的男性在机动车碰撞后的案例报告.
- 双边手腕疼痛和胀的放射评估.
- 临床病史与成像发现的相关性,以诊断OTS.
主要成果:
- 右手腕的放射图是正常的.
- 左手腕成像显示,在三体和状体之间存在一个骨三体二次体 (OTS).
- 骨具有特有的特征:光滑的边缘,保存的比率和放射性隙.
- 保守的管理导致两周内症状完全消失.
结论:
- 在对侧手腕疼痛的差异诊断中,应考虑Os triquetrum secundarium (OTS).
- 准确解释成像标准至关重要,以避免误诊.
- 对于没有相关伤害的OTS,如三角纤维软骨复合体撕裂等,非手术治疗是最好的.
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