Dreant N, Mathoulin C, Lucchetti R, Pegoli L
Institut niçois de chirurgie de la main, clinique Saint-François, 06000 Nice, France.
Chir Main. 2009 Apr;28(2):74-7. doi: 10.1016/j.main.2008.12.005. Epub 2009 Jan 29.
The W. Geissler's and G. Dautel's arthroscopic classifications for scapholunate instability have been compared in a prospective, multicentric study. Physical, radiographic and arthroscopic data from 50 patients were reported by eight operators working in eight different institutions. Two questions were asked for each study case: Which classification seemed to be the more easy to use? Which classification seemed to give the best treatment algorithm? The good and bad points of each classification are presented. Neither of these two classifications is ideal, so the authors propose a classification incorporating the important points gleaned from the study. The proposed classification is simple, reproducible and precise, especially in terms of scapholunate ligament status.
在一项前瞻性多中心研究中,对W. 盖斯勒(W. Geissler)和G. 道特尔(G. Dautel)的舟月关节不稳关节镜分类法进行了比较。来自八个不同机构的八位操作人员报告了50例患者的体格检查、影像学和关节镜检查数据。针对每个研究病例提出了两个问题:哪种分类法似乎更易于使用?哪种分类法似乎能给出最佳治疗方案?介绍了每种分类法的优缺点。这两种分类法都不理想,因此作者提出了一种纳入该研究所得要点的分类法。所提出的分类法简单、可重复且精确,尤其是在舟月韧带状态方面。