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[腕舟月关节不稳定——综述]

[Scapholunate instability of the wrist--a review].

作者信息

Zyluk Andrzej, Piotuch Bernard, Mazur Agnieszka

机构信息

Klinika Chirurgii Ogólnej i Chirurgii Reki, Pomorski Uniwersytet Medyczny w Szczecinie.

出版信息

Chir Narzadow Ruchu Ortop Pol. 2011 May-Jun;76(3):175-81.

Abstract

Injury to the scapholunate ligament is considered the most common and burdened with the most negative squeals cause of the carpal instability. The article provides information on the functional anatomy of the scapholunate complex and the consequences of the tear of the ligament that joints these bones. Rupture of this ligament, associated with tear of extrinsic (secondary) stabilizers of the wrist leads on to dislocation of the carpal bones one against another and, finally, results in carpal instability. Classifications of the severity of the instability based on radiological and arthroscopic grounds were presented. Clinical symptoms and signs of the condition were described as well as imaging techniques helpful in its diagnosing. The usefulness of arthroscopy was emphasised in diagnosing of scapholunate complex disturbances, particularly those which are negative radiologically and present with no typical symptoms.

摘要

舟月韧带损伤被认为是腕关节不稳定最常见且后果最严重的原因。本文介绍了舟月复合体的功能解剖以及连接这些骨骼的韧带撕裂的后果。该韧带的断裂,若伴有腕关节外在(次要)稳定结构的撕裂,会导致腕骨相互脱位,最终造成腕关节不稳定。文中还介绍了基于放射学和关节镜检查结果的不稳定严重程度分类。描述了该病症的临床症状和体征以及有助于诊断的影像学技术。强调了关节镜检查在诊断舟月复合体紊乱方面的作用,尤其是那些放射学检查结果为阴性且无典型症状的情况。

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