Schädel-Höpfner M, Böhringer G, Junge A, Celik I, Gotzen L
Klinik für Unfallchirurgie, Philipps-Universität Marburg.
Handchir Mikrochir Plast Chir. 2001 Jul;33(4):229-33. doi: 10.1055/s-2001-16590.
To investigate the occurrence of carpal ligamentous injuries in patients with fractures of the distal radius, the results of 122 wrist arthroscopies were analysed within a retrospective study. Indications for arthroscopy included suspected carpal instability according to radiographic findings and/or the necessity for internal fixation of the radius fracture. Arthroscopy revealed acute scapholunate ligament tears in 84 patients. Scapholunate separation was found to be of prognostic value for ligament tears. There was no association between ligamentous lesions and carpal angles or fracture dislocation. Scapholunate ligament tears were most frequent in sagittal articular fractures. In these cases, wrist arthroscopy should be performed during operative treatment of the radius fracture to allow direct visualization and subsequent repair of ligamentous tears.
为了研究桡骨远端骨折患者腕部韧带损伤的发生率，我们在一项回顾性研究中分析了122例腕关节镜检查的结果。关节镜检查的指征包括根据影像学检查结果怀疑腕关节不稳定和/或桡骨骨折需要内固定。关节镜检查发现84例患者存在急性舟月韧带撕裂。发现舟月分离对韧带撕裂具有预后价值。韧带损伤与腕骨角度或骨折脱位之间没有关联。舟月韧带撕裂在矢状面关节骨折中最为常见。在这些病例中，应在桡骨骨折手术治疗期间进行腕关节镜检查，以便直接观察并随后修复韧带撕裂。
