运动员的舟月关节和月骨周围损伤。
Scapholunate and perilunate injuries in the athlete.
作者信息
Morrell Nathan T, Moyer Amanda, Quinlan Noah, Shafritz Adam B
机构信息
Department of Orthopaedics & Rehabilitation, University of Vermont College of Medicine, 95 Carrigan Drive Stafford Hall, Burlington, VT, 05405, USA.
University of Vermont College of Medicine, The University of Vermont Medical Center, Burlington, VT, USA.
出版信息
Curr Rev Musculoskelet Med. 2017 Mar;10(1):45-52. doi: 10.1007/s12178-017-9383-x.
PURPOSE OF THE REVIEW
Scapholunate and perilunate injuries can be difficult to diagnose and treat in the athlete. In this review article, we present the mechanism of injury, evaluation, management, and outcomes of treatment for these injuries.
RECENT FINDINGS
Acute repair of dynamic scapholunate ligament injuries remains the gold standard, but judicious use of a wrist splint can be considered for the elite athlete who is in season. The treatment of static scapholunate ligament injury remains controversial. Newer SL reconstructive techniques that aim to restore scapholunate function without compromising wrist mobility as much as tenodesis procedures show promise in athlete patients. Acute injuries to the scapholunate ligament are best treated aggressively in order to prevent the sequelae of wrist arthritis associated with long-standing ligamentous injury. Acute repair is favored. Reconstructive surgical procedures to manage chronic scapholunate injury remain inferior to acute repair. The treatment of lunotriquetral ligament injuries is not well defined.
综述目的
舟月韧带和月骨周围损伤在运动员中可能难以诊断和治疗。在这篇综述文章中，我们阐述了这些损伤的损伤机制、评估、处理方法及治疗结果。
最新发现
动态舟月韧带损伤的急性修复仍是金标准，但对于赛季中的精英运动员，可考虑谨慎使用腕部夹板。静态舟月韧带损伤的治疗仍存在争议。旨在恢复舟月功能且不像肌腱固定术那样严重影响腕关节活动度的新型舟月重建技术，在运动员患者中显示出前景。舟月韧带的急性损伤最好积极治疗，以预防与长期韧带损伤相关的腕关节炎后遗症。急性修复更受青睐。处理慢性舟月损伤的重建手术程序仍不如急性修复。月三角韧带损伤的治疗尚不明确。
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