笔者在2002年度飞行员大体检中发现陈旧性骨折3例。现对其医学鉴定探讨如下。1 临床资料 例 1 男性,43岁,初教-6 飞行教员,飞行时间 2 200 h。患者自诉1年前打篮球时摔倒,左手掌触地,当时局部疼痛,轻度肿胀,活动受限。误以为软组织挫伤,未做进一步检查。局部按摩,贴伤湿祛痛膏后好转,一直在队飞行。查左腕关节活动尚可,“鼻咽窝”处压病,左腕关节正侧位X线拍片,见舟骨斜行骨折,骨折线明显增宽。诊断为左腕舟骨陈旧性骨折,健康鉴定时考虑到患者症状已不明显,功能尚可,且已在队飞行1年以上,且机种性能较低,结论为飞行合格。嘱 The author in the 2002 annual pilot physical examination found that three cases of old fractures. Now its medical identification as follows. 1 clinical data example 1 male, 43 years old, early education -6 flight instructors, flight time 2 200 h. Patient complained of basketball fall 1 year ago, the left palm touch, then the local pain, mild swelling, limited mobility. Mistakenly think that soft tissue contusion, without further examination. Local massage, stick wet wet pain relief after the pain, has been in the team flight. Left wrist movement can be checked, “nasopharyngeal fossa” at the pressure of disease, the left wrist is lateral X-ray film, see scaphoid oblique fracture, the fracture line was significantly wider. Diagnosis of left scaphoid old fracture, health assessment taking into account the patient’s symptoms are not obvious, the function is acceptable, and has been in the team for more than 1 year flight, and the performance of the model is low, the conclusion of flight qualified. Will