North E R, Meyer S
Department of Orthopaedic Surgery, University of Washington School of Medicine, Seattle.
J Hand Surg Am. 1990 Nov;15(6):915-20. doi: 10.1016/0363-5023(90)90015-j.
Wrist arthroscopy was done for one hundred nine patients with chronic wrist pain, averaging 22.8 months in duration. History regarding mechanism of injury, painful crepitus, pain with activity or at rest, localization of tenderness, visible swelling, and instability with examination was compared with arthroscopic findings of ligament damage, articular cartilage damage, and synovitis. Both pain at rest and swelling correlated significantly with synovitis. Tenderness did not correlate with specific ligament injury. Wrist ligament injuries and/or cartilage damage were noted in 96.3% of these wrists. Ligament injuries were frequently multiple, averaging 2.6 ligament injuries per wrist. No significant association was found between the presence of chondromalacia, synovitis, or specific ligament tears and the mechanism of injury, duration of symptoms, presence of clicking, or pain with activity.
对109例慢性腕关节疼痛患者进行了腕关节镜检查，疼痛平均持续22.8个月。将有关损伤机制、疼痛性摩擦音、活动或休息时疼痛、压痛部位、可见肿胀以及检查时的不稳定情况的病史与韧带损伤、关节软骨损伤和滑膜炎的关节镜检查结果进行了比较。静息痛和肿胀均与滑膜炎显著相关。压痛与特定韧带损伤无关。在这些腕关节中，96.3%存在腕韧带损伤和/或软骨损伤。韧带损伤常常是多处的，平均每个腕关节有2.6处韧带损伤。未发现软骨软化、滑膜炎或特定韧带撕裂的存在与损伤机制、症状持续时间、弹响的存在或活动时疼痛之间存在显著关联。
