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腕背侧关节囊-舟月间隔(DCSS)损伤的关节镜分类

Arthroscopic Classification of the Lesions of the Dorsal Capsulo-Scapholunate Septum (DCSS) of the Wrist.

作者信息

Van Overstraeten Luc, Camus Emmanuel J

机构信息

*Hand and Foot Surgery Unit, Tournai, Belgique †Hand Surgery Unit, Polyclinique du Val de Sambre, Maubeuge, France.

出版信息

Tech Hand Up Extrem Surg. 2016 Sep;20(3):125-8. doi: 10.1097/BTH.0000000000000131.

DOI:10.1097/BTH.0000000000000131
PMID:27415161
Abstract

The dorsal capsulo-scapholunate septum (DCSS) is an anatomic structure linking the scapholunate ligament and the dorsal capsule of the wrist. It should be a predynamic scapholunate stabilizer. The authors, using their experience for the extrinsic ligaments testing, suggest an arthroscopic testing of the DCSS. The status could be graded in 4 stages according to the trampoline aspect and to the fiber attachment. They report a preliminary study on a series of 53 arthroscopies made between January 2014 and December 2015 with evaluation of scapholunate ligament instability and DCSS laxity. There is a significant correlation between the lesional stage of the DCSS and the arthroscopic predynamic scapholunate instability stage (P<0.01).

摘要

背侧关节囊-舟月间隔(DCSS)是连接舟月韧带和腕背侧关节囊的一种解剖结构。它应是舟月关节的动态前稳定结构。作者基于其对外在韧带测试的经验,建议对DCSS进行关节镜检查。根据类似蹦床的外观和纤维附着情况,其状态可分为4个阶段。他们报告了一项对2014年1月至2015年12月间进行的53例关节镜检查的初步研究,评估了舟月韧带不稳定和DCSS松弛情况。DCSS的损伤阶段与关节镜下动态前舟月不稳定阶段之间存在显著相关性(P<0.01)。

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