Kakar Sanjeev, Carlsen Brian T, Moran Steven L, Berger Richard A
Division of Hand Surgery, Department of Orthopaedic Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA.
Hand Clin. 2010 Nov;26(4):517-28. doi: 10.1016/j.hcl.2010.05.010.
The stabilizing constraints of the distal radioulnar joint (DRUJ) include its bony geometry and the surrounding soft tissue support. Given the shallow nature of the sigmoid notch, reconstruction of the palmar and dorsal ligamentous sleeve provides the best solution for restoring stability in cases of chronic DRUJ instability. The pertinent anatomy, indications, contraindications, soft tissue stabilizing procedures, and rehabilitation for the management of chronic DRUJ instability are highlighted in this review.
桡尺远侧关节（DRUJ）的稳定约束包括其骨骼结构和周围的软组织支撑。鉴于乙状切迹较浅，掌侧和背侧韧带套的重建为慢性桡尺远侧关节不稳病例恢复稳定性提供了最佳解决方案。本文综述重点介绍了慢性桡尺远侧关节不稳治疗中的相关解剖结构、适应证、禁忌证、软组织稳定手术及康复治疗。
