Yin Hua-Wei, Qiu Yan-Qun, Shen Yun-Dong, Xu Jian-Guang, Gu Yu-Dong, Xu Wen-Dong
Department of Hand Surgery of Huashan Hospital, Shanghai Medical College of Fudan University, Shanghai, People's Republic of China; Department of Hand and Upper Extremity Surgery of Jingan District Center Hospital, Shanghai, People's Republic of China; State Key Laboratory of Medical Neurobiology, Fudan University, Shanghai, People's Republic of China.
J Hand Surg Am. 2013 Nov;38(11):2257-62. doi: 10.1016/j.jhsa.2013.08.108.
Ulnar impaction syndrome generally occurs with positive ulnar variance. The solution to the problem is to unload the ulnocarpal joint. Effective surgical options include diaphyseal ulnar shortening osteotomy, open wafer osteotomy, and arthroscopic wafer osteotomy. Recently, Slade and Gillon described an open procedure of ulnar shortening in the osteochondral region of the ulnar head. The procedure minimizes the risk of hemarthrosis and does not require hardware removal, which are problems with other surgical options. This article introduces a new arthroscopic technique of distal metaphyseal ulnar shortening osteotomy for ulnar impaction syndrome. This technique offers the advantages of minimizing surgical injury to the dorsal capsule of the distal radoulnar joint and so protects its stability.
尺骨撞击综合征通常在尺骨正向变异时发生。解决该问题的方法是减轻尺腕关节的负荷。有效的手术选择包括尺骨干缩短截骨术、开放式月骨切除术和关节镜下月骨切除术。最近，斯莱德和吉伦描述了一种在尺骨头软骨下区域进行尺骨缩短的开放手术。该手术将关节积血的风险降至最低，且无需取出内固定物，而其他手术选择则存在这些问题。本文介绍一种用于尺骨撞击综合征的新型关节镜下远侧干骺端尺骨缩短截骨术技术。该技术具有将对远侧桡尺关节背侧关节囊的手术损伤降至最低的优点，从而保护其稳定性。
