Linscheid R L, Dobyns J H
Mayo Medical School, Rochester, Minnesota.
Hand Clin. 1992 Nov;8(4):645-52.
The treatment of scapholunate dissociation remains controversial. Although good to excellent results have been reported using a variety of surgical techniques, they have often not been confirmed by other authors. Limited wrist mobility and the likelihood that degenerative changes will progress appear to be inherent in most approaches. The ideal treatment is to restore the normal anatomy and, with it, the function of the wrist. Destroying a normal joint by even a limited fusion as a means to provide stability to an abnormal joint is counter to our usual approach to disease. It is for that reason that more reliable soft-tissue reconstructive procedures are necessary. Those interested in arthroscopy are pursuing endoscopic methods of repair, but, at present, little progress is apparent. The physician who solves this problem with an uncomplicated and reliable surgical solution will have indebted us all.
舟月关节分离的治疗仍存在争议。尽管使用多种手术技术已报道了良好至极佳的效果，但其他作者往往未能证实这些结果。大多数治疗方法似乎都存在腕关节活动受限以及退行性改变可能进展的问题。理想的治疗方法是恢复正常解剖结构及其腕关节功能。通过哪怕是有限的融合来破坏正常关节以稳定异常关节，这与我们通常的疾病治疗方法背道而驰。正因如此，需要更可靠的软组织重建手术。对关节镜感兴趣的人正在探索内镜下修复方法，但目前进展并不明显。能用简单可靠的手术解决方案解决这个问题的医生将造福我们所有人。
