舟月关节不稳的诊断与治疗

The diagnosis and treatment of scapholunate instability.

作者信息

Manuel Jennifer, Moran Steven L

机构信息

Division of Hand Surgery, Department of Orthopedics, Mayo Clinic, 200 First Street, SW, Rochester, MN 55905, USA.

出版信息

Orthop Clin North Am. 2007 Apr;38(2):261-77, vii. doi: 10.1016/j.ocl.2007.02.003.

DOI:10.1016/j.ocl.2007.02.003

PMID:17560408

Abstract

Scapholunate instability is the most common form of carpal instability. Pain produced by this condition is caused by the wrist's inability to sustain physiologic loads because of an injury to the linkage between the scaphoid and lunate. The term scapholunate instability may describe a wide spectrum of clinical conditions ranging from mild wrist dysfunction and partial ligamentous tear to debilitating pain with associated rupture of the scapholunate interosseus ligament complex. This article reviews the pathophysiology of scapholunate instability and its identification and treatment.

摘要

舟月骨间关节不稳是腕关节不稳最常见的形式。这种情况所产生的疼痛是由于舟骨和月骨之间的连接损伤，导致腕关节无法承受生理负荷所致。舟月骨间关节不稳这一术语可能描述了一系列广泛的临床情况，从轻度腕关节功能障碍和部分韧带撕裂到伴有舟月骨间韧带复合体断裂的使人衰弱的疼痛。本文综述了舟月骨间关节不稳的病理生理学及其识别和治疗方法。