Meier R, Jansen H, Uhl M
Klinik und Poliklinik für Unfall-, Hand-, Plastische- und Wiederherstellungschirurgie, Universitätsklinikum Würzburg, Würzburg.
Orthopade. 2010 Aug;39(8):801-21, quiz 822. doi: 10.1007/s00132-010-1660-y.
Injuries of the wrist are difficult to diagnose because of the complex and narrow anatomic structures. On the basis of precise clinical examination, X-rays, CT and MRI are valuable additional tools that can be used. In the case of bone injury, spiral computer tomography with multiplanar reformatting is currently the method of choice. MRI is indicated for the identification of soft tissue or ligamentous injury and avital fragments or necrosis. Other diagnostic tools for the wrist are currently of minor importance. Technical and methodological innovations allow ever better visualisation and classification of lesions, as well as their extent, thus enabling more targeted therapy. However, prerequisites of effective use include differential assessment and precise knowledge of the procedures.
由于腕部解剖结构复杂且狭窄,腕部损伤难以诊断。在精确的临床检查基础上,X射线、CT和MRI是可使用的有价值的辅助工具。对于骨损伤,目前多平面重组螺旋计算机断层扫描是首选方法。MRI适用于识别软组织或韧带损伤以及无活力的碎片或坏死。目前,腕部的其他诊断工具不太重要。技术和方法上的创新使病变的可视化、分类以及范围的判断越来越好,从而能够进行更有针对性的治疗。然而,有效使用的前提包括鉴别评估和对检查程序的精确了解。