Rappold G, Leixnering M, Pezzei C
Unfallkrankenhaus Lorenz Böhler, AUVA; Wien XX.
Handchir Mikrochir Plast Chir. 2001 Jul;33(4):221-8. doi: 10.1055/s-2001-16591.
The frequency of carpal injuries associated with distal radius fractures is often underestimated. Diagnosis of such lesions can be difficult. Important diagnostic steps include conventional X-rays, cinematography of the wrist, MRI, and arthroscopy. Different procedures such as wrist arthrography and CT are of secondary value. An early diagnosis of ligament injuries and instabilities can be obtained through cinematographic examination, whereas injuries to the TFCC are mainly diagnosed by MRI. Arthroscopy provides exact diagnosis as well as therapy, including arthroscopically controlled reposition of centrally depressed fragments of the articular surface of the radius and even treatment of TFCC lesions.
与桡骨远端骨折相关的腕部损伤的发生率常常被低估。此类损伤的诊断可能存在困难。重要的诊断步骤包括传统X线检查、腕关节造影、磁共振成像（MRI）和关节镜检查。腕关节造影和CT等不同检查方法的价值次之。通过造影检查可早期诊断韧带损伤和不稳定情况，而三角纤维软骨复合体（TFCC）损伤主要通过MRI诊断。关节镜检查可提供准确的诊断及治疗，包括关节镜控制下复位桡骨关节面中央凹陷的骨折块，甚至治疗TFCC损伤。
