Kawamura Kenji, Chung Kevin C
Ann Arbor, Mich. From the Section of Plastic Surgery, Department of Surgery, University of Michigan Health System.
Plast Reconstr Surg. 2007 Oct;120(5):73e-89e. doi: 10.1097/01.prs.0000279385.39997.34.
After studying this article, the participant should be able to: 1. Understand the anatomy and the biomechanical properties of the wrist. 2. Understand the standard examination process for wrist injuries. 3. Accurately diagnose common wrist conditions. 4. Establish a management plan for wrist problems.
Although common, wrist injuries and conditions are difficult to treat if the physician is unfamiliar with their management.
Wrist anatomy and kinematics are discussed. Physical and radiographic examinations that are mandatory for diagnosing wrist conditions are presented. Common wrist injuries are reviewed.
Understanding the anatomy and kinematics of the wrist is important in diagnosing and treating wrist conditions and in predicting outcomes after treatment. Physical examination of the wrist requires an understanding of the surface anatomy and a number of specific maneuvers. Physicians should also be familiar with other diagnostic tests, which include radiography, arthrography, computed tomography, magnetic resonance imaging, and arthroscopy.
Physicians who treat wrist injuries should be able to establish an adequate management plan for common wrist injuries and conditions and be able to predict outcomes based on these treatment plans.
在研读本文后，参与者应能够：1. 了解腕关节的解剖结构和生物力学特性。2. 了解腕关节损伤的标准检查流程。3. 准确诊断常见的腕关节疾病。4. 制定腕关节问题的管理计划。
腕关节损伤和疾病虽常见，但如果医生不熟悉其治疗方法，则难以治疗。
讨论了腕关节的解剖结构和运动学。介绍了诊断腕关节疾病所需的体格检查和影像学检查。回顾了常见的腕关节损伤。
了解腕关节的解剖结构和运动学对于诊断和治疗腕关节疾病以及预测治疗后的结果非常重要。腕关节的体格检查需要了解表面解剖结构和一些特定的手法。医生还应熟悉其他诊断测试，包括放射学、关节造影、计算机断层扫描、磁共振成像和关节镜检查。
治疗腕关节损伤的医生应能够为常见的腕关节损伤和疾病制定适当的管理计划，并能够根据这些治疗计划预测结果。
