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腕关节镜检查的应用与滥用

Uses and abuses of wrist arthroscopy.

作者信息

Monaghan Bruce A

机构信息

Section of Orthopaedic Surgery, Underwood Memorial Hospital, Woodbury, NJ, USA.

出版信息

Tech Hand Up Extrem Surg. 2006 Mar;10(1):37-42. doi: 10.1097/00130911-200603000-00007.

DOI:10.1097/00130911-200603000-00007
PMID:16628118
Abstract

PURPOSE OF REVIEW

The use of wrist arthroscopy in the diagnosis and treatment of carpal pathology continues to expand. The purpose of this paper is to summarize recent advances in the utility of this diagnostic, therapeutic, and research tool.

RECENT FINDINGS

The indications for wrist arthroscopy are growing with the description of volar portals for the radiocarpal and scaphotrapezial trapezoid joint. Arthroscopic assistance in the treatment of distal radius and scaphoid fractures is also becoming more feasible. Arthroscopic excision of dorsal carpal ganglions has met with considerable success. In addition, the application of electrothermal collagen shrinkage is an exciting new frontier in arthroscopic wrist procedures.

SUMMARY

Wrist arthroscopy has evolved to be an essential diagnostic and therapeutic tool in the armamentarium of every surgeon treating disorders of the wrist.

摘要

综述目的

腕关节镜在腕部疾病诊断和治疗中的应用不断拓展。本文旨在总结这一诊断、治疗及研究工具应用方面的最新进展。

最新发现

随着桡腕关节和舟大多角小多角关节掌侧入路的描述,腕关节镜的适应证不断增加。关节镜辅助治疗桡骨远端和舟骨骨折也变得更加可行。关节镜下切除腕背侧腱鞘囊肿已取得相当大的成功。此外,电热胶原皱缩技术的应用是腕关节镜手术令人兴奋的新领域。

总结

腕关节镜已发展成为每位治疗腕部疾病的外科医生必备的诊断和治疗工具。

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