【摘要】 目的研究 60岁以上老年人月骨无菌性坏死的病变特点。方法调查 7例老年月骨无菌性坏死的一般资料及影像学、临床资料 ,应用Dornan s标准评估临床结果。基于影像学资料 (参照Lichtman s分级 )确定本病的发展进程 ,观察尺骨的变化及腕高比。结果本组女性多于男性 ,发病年龄以 60岁居多。发病均为优势手 ,尺骨负向变异仅 1例。所有病人均有腕骨塌陷的影像学表现。本组经外科处理及保守治疗效果佳。结论老年月骨无菌性坏死的临床特点与病因学不同于其他年龄组的月骨无菌性坏死病人更多还原

【Abstract】 Objective To investigate the characteristics of Kienbocks disease in patients over 60 years of age. Methods We investigated general data,radiographical results and clinical results from 7 elderly patients with Kienbocks disease.Their clinical data was evaluated by using Dornans criteria.On the basis of radiographic findings and Lichtmans classification,the development of the disease was determined.Ulnar alterations and carpal height ratio were measured. Results Woman patients dominated in the study subjects.Their ages at onset varied from 60 to 70 years,but mostly at 60.The disease involved the dominant hands.Negative ulnar variance was present in only 1 wrist.Radiographic examination revealed carpal collapse in all patients.Surgical and conservative treatment produced good response in all patients. Conclusions The clinical and etiologic characteristics of Kienbocks disease in elderly patients were different from those in patients of other ages.更多还原