Geissler William B
Department of Orthopaedic Surgery and Rehabilitation, University of Mississippi Medical Center, Jackson, MS, USA.
J Hand Surg Am. 2012 Feb;37(2):350-5. doi: 10.1016/j.jhsa.2011.11.012.
Peripheral tears to the articular disk of the triangular fibrocartilage complex are fairly common. Patients complain of ulnar-sided wrist pain with ulnar deviation and forearmrotation along the prestyloid recess. The peripheral tears of the articular disk are amenable to arthroscopic repair due to its blood supply. All-arthroscopic knotless repair of peripheral ulnar-sided tears of the articular disk has several advantages. This technique allows for repair of the superficial and deep layers of the articular disk directly down to bone. In addition, by being knotless, it avoids irritation to the surrounding soft tissues by suture knots. This article describes arthroscopic repair of peripheral ulnar-sided tears of the articular disk down to bone with a knotless technique.
三角纤维软骨复合体关节盘的周边撕裂相当常见。患者会抱怨尺侧腕部疼痛，伴有尺偏和沿茎突前隐窝的前臂旋转。由于关节盘周边撕裂处有血供，因此适合进行关节镜修复。关节盘尺侧周边撕裂的全关节镜无结修复有几个优点。该技术可直接将关节盘的浅层和深层修复至骨面。此外，由于无结，避免了缝合结对周围软组织的刺激。本文介绍了用无结技术对关节盘尺侧周边撕裂进行关节镜下修复至骨面的方法。
