Slutsky David J
Los Angeles County Harbor-UCLA Medical Center, 1000 W Carson Street, Torrance, CA 90502, USA.
Hand Clin. 2011 Aug;27(3):255-61. doi: 10.1016/j.hcl.2011.05.003.
Anatomical and biomechanical studies have highlighted the importance of the deep attachment of the TFCC for maintaining stability of the distal radioulnar joint (DRUJ). The standard arthroscopic assessment of the TFCC does not allow one to definitively determine whether the deep fibers are indeed intact, and establishing the diagnosis of a foveal detachment remains an exacting challenge. DRUJ arthroscopy is useful to assess the foveal fibers in any patient with DRUJ instability and can aid in the surgical decision making.
解剖学和生物力学研究强调了三角纤维软骨复合体（TFCC）的深部附着对于维持下尺桡关节（DRUJ）稳定性的重要性。TFCC的标准关节镜评估无法明确确定深部纤维是否确实完整，而诊断中央凹附着处的撕脱仍然是一项艰巨的挑战。DRUJ关节镜检查对于评估任何患有DRUJ不稳定的患者的中央凹纤维很有用，并且有助于手术决策。
