Atzei Andrea, Luchetti Riccardo
Hand Surgery and Rehabilitation Team, Viale della Repubblica 10/B, 31050 Villorba (TV), Italy.
Hand Clin. 2011 Aug;27(3):263-72. doi: 10.1016/j.hcl.2011.05.014.
During the last two decades, increased knowledge of functional anatomy and pathophysiology of the triangular fibrocartilage complex (TFCC) have contributed to a change in surgeons' perspective toward it. The earlier concept of the TFCC as the "hammock" structure of the ulnar carpus has updated to the "iceberg" concept, whereby the much larger "submerged" part represents the foveal insertions of the TFCC and functions as the stabilizer of the distal radioulnar joint and the ulnar carpus, thus lending it greater functional importance. This article presents an algorithm of the treatment of traumatic peripheral TFCC tear based on clinical, radiological, and arthroscopic findings.
在过去二十年中，对三角纤维软骨复合体（TFCC）功能解剖学和病理生理学的认识不断增加，这促使外科医生对其看法发生了改变。TFCC作为尺侧腕骨“吊床”结构的早期概念已更新为“冰山”概念，即更大的“水下”部分代表TFCC的凹窝附着点，并作为桡尺远侧关节和尺侧腕骨的稳定器，因此其功能重要性更高。本文基于临床、放射学和关节镜检查结果，提出了一种治疗创伤性周围TFCC撕裂的算法。
