Koman L A, Poehling G G, Toby E B, Kammire G
Department of Orthopedic Surgery, Bowman Gray School of Medicine, Wake Forest University Medical Center, Winston-Salem, North Carolina 27103.
Arthroscopy. 1990;6(2):116-9. doi: 10.1016/0749-8063(90)90011-2.
Although arthroscopy represents a new and dynamic diagnostic technique for evaluating the wrist, specific indications for arthroscopic intervention in the wrist are not defined. To place this technique in perspective, we review our experience with 54 consecutive arthroscopies of the radiocarpal and midcarpal joints in 53 patients with chronic wrist pain. On the basis of this review, we believe arthroscopy is indicated for the diagnosis of wrist pain of longer than 3 months' duration. Defects of the triangular fibrocartilage and lesions of the articular cartilage, including loose bodies, are detectable and easily treated with wrist arthroscopy.
尽管关节镜检查是一种用于评估腕关节的全新且充满活力的诊断技术，但腕关节镜干预的具体适应症尚未明确。为正确看待这项技术，我们回顾了53例慢性腕关节疼痛患者连续进行的54次桡腕关节和腕中关节镜检查的经验。基于此次回顾，我们认为关节镜检查适用于诊断病程超过3个月的腕关节疼痛。三角纤维软骨缺损和关节软骨损伤，包括游离体，均可通过腕关节镜检查发现并易于治疗。
