骨科英文书籍精读（123）｜桡骨茎突骨折
FRACTURED RADIAL STYLOID
This injury is caused by forced radial deviation of the wrist and may occur after a fall, or when a starting handle ‘kicks back’ – the so-called ‘chauffeur’s fracture‘. The fracture line is transverse, extending laterally from the articular surface of the radius; the fragment, much more than the radial styloid, is often undisplaced. The radial styloid can also be fractured as part of the far more serious trans-scaphoid perilunate fracture dislocation.
Treatment
If there is displacement it is reduced, and the wrist is held in ulnar deviation by a plaster slab round the outer forearm extending from below the elbow to the metacarpal necks. Imperfect reduction may lead to osteoarthritis; therefore if closed reduction is imperfect the fragment should be screwed back, or held with K-wires.
---from 《Apley’s System of Orthopaedics and Fractures》
重点词汇整理：
deviation /ˌdiːviˈeɪʃn/n. 偏差；误差；背离
chauffeur /ʃoʊˈfɜːr/n. 司机vt. 开车运送vi. 当汽车司机
styloid /ˈstaɪˌlɔɪd/n. 茎突；茎状突（styloid process 的简称）
scaphoid /ˈskæfɔɪd/n. 舟状骨
osteoarthritis /ˌɑːstioʊɑːrˈθraɪtɪs/n. [外科] 骨关节炎
百度翻译：
桡骨茎突骨折
这种伤害是由手腕的强迫径向偏斜引起的，可能发生在摔倒后，或者启动手柄“反冲”时，即所谓的“司机骨折”。骨折线是横向的，从桡骨关节面向后延伸；碎片远多于桡骨茎突，通常不移位。桡骨茎突也可以作为更严重的经舟骨月骨周围骨折脱位的一部分骨折。
治疗
如果有移位，它就会减少，手腕被石膏板固定在尺骨偏斜处，前臂外侧由肘下延伸至掌骨颈。不完全复位可能导致骨性关节炎；因此，如果闭合复位不完全，则应将碎片拧回原位，或用K形钢丝固定。