Michelotti Brett F, Adkinson Joshua M, Chung Kevin C
Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, 2130 Taubman Center, SPC 5340, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5340, USA.
Section of Plastic Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, NMH/Galter Room 3-150, 251 E Huron, Chicago, IL 60611, USA.
Hand Clin. 2015 Aug;31(3):437-49. doi: 10.1016/j.hcl.2015.04.013.
Although the true incidence of scapholunate interosseous ligament (SLIL) injury is unknown, a study found that 35% of cadaveric wrists had some degree of scapholunate tear. Of those wrists with SLIL injury, 29% had evidence of arthrosis. Early recognition and treatment of these injuries can delay or prevent the onset of arthritis. This article details treatment options for SLIL injury across the spectrum of pathology with a particular emphasis on chronic scapholunate repair and reconstruction. New techniques and outcomes data also are presented.
虽然舟月骨间韧带(SLIL)损伤的真实发病率尚不清楚,但一项研究发现,35%的尸体手腕存在一定程度的舟月骨撕裂。在那些存在SLIL损伤的手腕中,29%有骨关节炎的迹象。对这些损伤的早期识别和治疗可以延缓或预防关节炎的发生。本文详细介绍了不同病理类型的SLIL损伤的治疗选择,特别强调慢性舟月骨修复和重建。还介绍了新技术和疗效数据。