Weiss Krista E, Rodner Craig M
Harvard College, Cambridge, MA, USA.
J Hand Surg Am. 2007 May-Jun;32(5):725-46. doi: 10.1016/j.jhsa.2007.02.003.
Osteoarthritis of the wrist is one of the most common conditions encountered by hand surgeons. It may result from a nonunited or malunited fracture of the scaphoid or distal radius; disruption of the intercarpal, radiocarpal, radioulnar, or ulnocarpal ligaments; avascular necrosis of the carpus; or a developmental abnormality. Whatever the cause, subsequent abnormal joint loading produces a spectrum of symptoms, from mild swelling to considerable pain and limitations of motion as the involved joints degenerate. A meticulous clinical and radiographic evaluation is required so that the pain-generating articulation(s) can be identified and eliminated. This article reviews common causes of wrist osteoarthritis and their surgical treatment alternatives.
腕关节骨关节炎是手外科医生最常遇到的病症之一。它可能由舟状骨或桡骨远端骨折不愈合或畸形愈合、腕骨间韧带、桡腕韧带、桡尺韧带或尺腕韧带断裂、腕骨缺血性坏死或发育异常引起。无论病因如何，随后的异常关节负荷都会产生一系列症状，从轻度肿胀到严重疼痛以及随着受累关节退变而出现的活动受限。需要进行细致的临床和影像学评估，以便识别并消除产生疼痛的关节。本文综述了腕关节骨关节炎的常见病因及其手术治疗选择。
