类风湿关节炎中的不稳定腕关节。

The unstable radiocarpal joint in rheumatoid arthritis.

作者信息

Sparmann M

机构信息

Orthopädisch-rheumatologische Abteilung, Immanuel-Krankenhaus Berlin, Schwerpunktklinik Rheumatologie Land Berlin, Germany.

出版信息

Orthopade. 1999 Oct;28(10):872-877. doi: 10.1007/PL00003562.

DOI:10.1007/PL00003562

PMID:28246734

Abstract

The inflammation of the wrist occurs very early in Rheumatoid arthritis. In cases of wrist deviation the biomechanics of the hole hand are affected. Carpal collaps will severly influence the range of motion (ROM) of the fingers. Operative techniques of how to maintain hand function are discussed. There are different procedures available - partial arthrodesis, arthrodesis and arthroplasty.

摘要

类风湿性关节炎早期就会出现手腕炎症。在手腕畸形的情况下，全手的生物力学受到影响。腕骨塌陷将严重影响手指的活动范围（ROM）。本文讨论了如何维持手部功能的手术技术。有多种不同的手术方法可供选择——部分关节固定术、关节固定术和关节成形术。