尺桡远侧关节类风湿关节炎治疗的当前概念

Current concepts in the treatment of rheumatoid arthritis of the distal radioulnar joint.

作者信息

Murray Peter M

机构信息

Department of Orthopedic Surgery, Mayo Clinic, 4500 San Pablo Road South, Jacksonville, FL 32224, USA.

出版信息

Hand Clin. 2011 Feb;27(1):49-55. doi: 10.1016/j.hcl.2010.10.002.

DOI:10.1016/j.hcl.2010.10.002

PMID:21176800

Abstract

Rheumatoid arthritis (RA) may progressively affect all articulations of the wrist. Involvement of the distal radioulnar joint (DRUJ) is common and may be the first clinical signs of symptoms of RA. When the DRUJ is affected by RA, upper extremity function can be affected. Effective surgical management includes the Darrach procedure, the Suave-Kapandji procedure, the hemiresection interposition arthroplasty procedure and extensor tenosynovectomy. The long-term effectiveness of DRUJ arthroplasty is currently unknown.

摘要

类风湿性关节炎（RA）可能会逐渐影响腕部的所有关节。桡尺远侧关节（DRUJ）受累很常见，可能是RA症状的首个临床体征。当DRUJ受到RA影响时，上肢功能可能会受到影响。有效的手术治疗包括Darrach手术、Suave-Kapandji手术、半切除间置关节成形术和伸肌腱鞘切除术。目前尚不清楚DRUJ关节成形术的长期疗效。