Spies C K, Langer M F, Unglaub F, Mühldorfer-Fodor M, Müller L P, Ahrens C, Schlindwein S F
Abteilung für Handchirurgie, Vulpius Klinik, Vulpiusstr. 29, 74906, Bad Rappenau, Deutschland.
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Münster, Deutschland.
Unfallchirurg. 2016 Aug;119(8):673-89. doi: 10.1007/s00113-016-0206-0.
A precise medical history and specific symptom-oriented clinical tests of the wrist joint should always precede any radiological, computed tomography (CT) or magnetic resonance imaging (MRI) diagnostics. In many cases, specific clinical tests of the wrist joint allow at least a preliminary diagnosis, which can be supported by standard radiography using correct projections. A systematic approach is recommended covering the radiocarpal, midcarpal, ulnocarpal and distal radioulnar joints. Exact identification of the palpable anatomic landmarks is mandatory for correct application and interpretation of the various clinical tests. The results of the clinical tests in combination with radiological imaging can often detect precisely ruptures of distinct wrist joint ligaments and localized arthritis.
在进行任何放射学、计算机断层扫描（CT）或磁共振成像（MRI）诊断之前，都应始终先获取精确的病史并针对腕关节进行特定的以症状为导向的临床检查。在许多情况下，腕关节的特定临床检查至少可以做出初步诊断，而正确投照的标准X线摄影可以为其提供支持。建议采用系统的方法，涵盖桡腕关节、腕中关节、尺腕关节和桡尺远侧关节。准确识别可触及的解剖标志对于正确应用和解释各种临床检查至关重要。临床检查结果与放射学成像相结合，通常可以精确检测出腕关节特定韧带的断裂和局限性关节炎。
