Millants P, De Smet L, Van Ransbeeck H
Department of Orthopaedic Surgery, U.Z. Pellenberg, Weligerveld 1, 3212 Pellenberg, Belgium.
Chir Main. 2002 Oct;21(5):298-300. doi: 10.1016/s1297-3203(02)00135-x.
Ulnar wrist pain due to a TFCC lesion is frequent. Based on studies of the vascularity, ulnar avulsion can be sutured. Arthroscopic techniques have been designed but results are sparsely published.
This is a retrospective study of 35 patients with an ulnar avulsion of the TFCC. All the patients were treated with an originally designed arthroscopical technique. The evaluation was focused on the subjective and functional ouome. A pain score and a DASH score were used.
The general impression was positive with a mean DASH score of 15 points. Two-thirds of the patients had a DASH score totaling less than 20. Twenty-nine patients had a good outcome, six were fair or poor.
Arthroscopical repair of the TFCC is a reliable and useful technique.
由三角纤维软骨复合体（TFCC）损伤导致的尺侧腕部疼痛很常见。基于对血管分布的研究，尺侧撕脱伤可以进行缝合。已经设计了关节镜技术，但相关结果发表较少。
这是一项对35例TFCC尺侧撕脱伤患者的回顾性研究。所有患者均采用一种最初设计的关节镜技术进行治疗。评估重点在于主观和功能结果。使用了疼痛评分和DASH评分。
总体印象良好，平均DASH评分为15分。三分之二的患者DASH总分低于20分。29例患者预后良好，6例为一般或较差。
TFCC的关节镜修复是一种可靠且有用的技术。
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