Chennagiri R J R, Lindau T R
Wycombe Hospital, Queen Alexandra Road, High Wycombe, Bucks HP11 2TT, UK.
J Hand Surg Eur Vol. 2013 Sep;38(7):727-38. doi: 10.1177/1753193412473861. Epub 2013 Jan 22.
Scapholunate ligament tear is a common wrist injury and may lead to degenerative arthritis of the wrist in the long term. We review the assessment and classification of scapholunate instability and discuss the findings from our search for evidence for the management of scapholunate instability in the absence of arthritis. Strong evidence (level 1 or 2) for management is lacking and published recommendations are largely experience-based. The choice of procedure in the absence of arthritis depends on the extent of the tear, quality of the ligament remnants, and reducibility of the joint. Prospective, randomized studies with validated outcome measures are needed to establish the efficacy of intervention on symptoms and function and its effect on the risk of future arthritis.
舟月韧带撕裂是一种常见的腕部损伤，长期可能导致腕关节退行性关节炎。我们回顾了舟月关节不稳的评估和分类，并讨论了在无关节炎情况下治疗舟月关节不稳的证据检索结果。目前缺乏强有力的证据（1级或2级）支持治疗方法，已发表的建议大多基于经验。在无关节炎的情况下，手术方式的选择取决于撕裂的程度、韧带残余的质量以及关节的可复位性。需要开展具有有效结局指标的前瞻性随机研究，以确定干预措施对症状和功能的疗效及其对未来患关节炎风险的影响。
