Loeffler Bryan J, Green Jennifer B, Zelouf David S
Philadelphia Hand Center, King of Prussia, Pennsylvania.
Philadelphia Hand Center, King of Prussia, Pennsylvania.
J Hand Surg Am. 2014 Jan;39(1):156-67. doi: 10.1016/j.jhsa.2013.07.010. Epub 2013 Dec 6.
Forearm instability results from trauma, which disrupts the radial head, the interosseous membrane, and the triangular fibrocartilage complex. Inadequate treatment of injuries to these forearm stabilizers may result in the complex problem of chronic longitudinal forearm instability. Delayed recognition and/or treatment of injuries producing forearm dissociation has led to poor patient outcomes, which makes timely recognition of the injury pattern imperative. This article discusses relevant aspects of forearm anatomy and current concepts in the diagnosis and treatment options for this complex injury pattern.
前臂不稳定源于创伤,这种创伤会破坏桡骨头、骨间膜和三角纤维软骨复合体。对这些前臂稳定结构损伤的治疗不当可能会导致慢性纵向前臂不稳定这一复杂问题。对导致前臂分离的损伤识别和/或治疗延迟已导致患者预后不佳,这使得及时识别损伤模式至关重要。本文讨论了前臂解剖的相关方面以及针对这种复杂损伤模式的诊断和治疗选择的当前概念。