Katz David I, Seiler John G, Bond T Christopher
Department of Orthopaedics, Emory University, Atlanta, GA, USA.
J Surg Orthop Adv. 2010 Winter;19(4):218-22.
Ulnar impaction syndrome is a common cause of ulnar-sided wrist pain that is thought to be a result of abutment between the ulna and the ulnar carpus. A systematic review of the literature was conducted to determine the effectiveness of different treatment options in managing ulnar impaction syndrome. PubMed, the Cochrane database, and secondary references were reviewed to identify all English-language articles with reported results on the treatment of ulnar impaction syndrome. A total of 16 articles met the criteria for review. Three procedures were identified as the most commonly used in treating this syndrome: ulnar shortening osteotomy, the wafer procedure, and the arthroscopic wafer procedure. Mean time to union and percentage nonunion for the osteotomy group was 10.3 weeks and 1.7%, respectively. The overall complication rate for patients in the ulnar shortening osteotomy group, the wafer procedure group, and the arthroscopic wafer group was 30%, 8.8%, and 21%, respectively. The authors were unable to determine a single best treatment option based on the available studies, mainly due to the variability in the reporting of subjective outcome measures. Ulnar shortening osteotomy was associated with a higher complication rate than other procedures.
尺骨撞击综合征是尺侧腕部疼痛的常见原因，被认为是尺骨与尺侧腕骨之间相互挤压的结果。我们进行了一项文献系统综述，以确定不同治疗方案在管理尺骨撞击综合征方面的有效性。检索了PubMed、Cochrane数据库及二次参考文献，以识别所有报道了尺骨撞击综合征治疗结果的英文文章。共有16篇文章符合综述标准。确定了三种最常用于治疗该综合征的手术：尺骨短缩截骨术、骨片切除术和关节镜下骨片切除术。截骨术组的平均愈合时间和不愈合率分别为10.3周和1.7%。尺骨短缩截骨术组、骨片切除术组和关节镜下骨片切除术组患者的总体并发症发生率分别为30%、8.8%和21%。基于现有研究，作者无法确定单一的最佳治疗方案，主要原因是主观结局指标报告的变异性。尺骨短缩截骨术的并发症发生率高于其他手术。
