Jariwala A C, Scott I, Arnold G P, Abboud R J, Wigderowitz C A
Department of Orthopaedics and Trauma Surgery, TORT Centre, Ninewells Hospital and Medical School, University of Dundee, Scotland, DD1 9SY, UK.
Hand Surg. 2010;15(3):237-41. doi: 10.1142/S0218810410004904.
The treatment for scapholunate dissociation is challenging and its management is varied depending on type, severity and duration of injury, and surgeon's preferred technique. This study aimed to objectively assess the variations in the range and patterns of wrist movements using the Fastrak(®) system in patients having undergone Blatt's dorsal capsulodesis (BDC). The wrist movements were successively measured between the operated and unoperated wrists, while the patients performed set tasks. Seventeen patients agreed to participate in the study. Following BDC the mean flexion loss was 23° (range 10°-38°). However, functional tasks revealed that the BDC did not adversely affect the function of the operated wrist. This novel study demonstrates objectively the functional restrictions that patients are likely to experience postoperatively following BDC. It would be interesting to note the pattern of wrist motion using the Fastrak(®) system in various other clinical settings.
舟月骨分离的治疗具有挑战性,其治疗方法因损伤类型、严重程度、持续时间以及外科医生的首选技术而异。本研究旨在使用Fastrak(®)系统客观评估接受布拉特背侧关节囊固定术(BDC)的患者手腕运动范围和模式的变化。在患者执行设定任务时,依次测量手术侧和未手术侧手腕的运动。17名患者同意参与本研究。BDC术后平均屈曲丧失为23°(范围10°-38°)。然而,功能任务显示BDC并未对手术侧手腕的功能产生不利影响。这项新颖的研究客观地证明了患者在BDC术后可能会经历的功能限制。在各种其他临床环境中使用Fastrak(®)系统记录手腕运动模式将是很有趣的。