Schmitt R
Herz- und Gefäßklinik GmbH Bad Neustadt, Salzburger Leite 1, 97616, Bad Neustadt, Deutschland.
Radiologe. 2016 Dec;56(12):1087-1106. doi: 10.1007/s00117-016-0184-9.
The distal radioulnar joint, the triangular fibrocartilage complex (TFCC) and the wrist are stabilized by many ligaments allowing not only a wide range of motion but also providing sufficient stability. The complex arrangement of carpal ligaments and prosupination around the forearm joint enables multiaxial motion patterns. In the wrist, intra-articular ligaments can be differentiated from extra-articular capsular ligaments as well as intrinsic and extrinsic ligament courses. Imaging is essential for classification of dynamic and static instability patterns. This review article illustrates the ligamentous anatomy of the wrist, the symptoms of carpal instability as well as the diagnostic capability of projection radiography, cinematography, computed tomography (CT) arthrography, magnetic resonance imaging (MRI) and MR arthrography.
桡尺远侧关节、三角纤维软骨复合体（TFCC）和腕关节由许多韧带稳定，这些韧带不仅允许广泛的活动范围，还提供足够的稳定性。腕骨韧带和前臂关节周围旋前旋后的复杂排列实现了多轴运动模式。在腕关节中，关节内韧带可与关节外囊韧带以及内在和外在韧带走行相区分。影像学对于动态和静态不稳定模式的分类至关重要。这篇综述文章阐述了腕关节的韧带解剖结构、腕骨不稳定的症状以及X线平片、动态摄影、计算机断层扫描（CT）关节造影、磁共振成像（MRI）和磁共振关节造影的诊断能力。
