Kakar Sanjeev, Greene Ryan M, Garcia-Elias Marc
Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.
Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.
J Hand Surg Am. 2017 Aug;42(8):667.e1-667.e8. doi: 10.1016/j.jhsa.2017.05.021.
Scapholunate instability can lead to posttraumatic dysfunction of the wrist. If unrecognized, it commonly leads to degenerative osteoarthritis. Numerous reparative techniques have been proposed with mixed long-term success. We present a technique that uses a distally based strip of the extensor carpi radialis longus to better maintain reduction of the scaphoid and reconstruct the volar and dorsal scapholunate ligament and the scaphotrapezium-trapezoid ligament. To illustrate the technique, we describe a clinical case with 17 months of follow-up.
舟月骨不稳定可导致腕关节创伤后功能障碍。若未被识别，通常会导致退行性骨关节炎。人们已经提出了许多修复技术，但长期效果不一。我们介绍一种技术，该技术使用桡侧腕长伸肌远端的一条组织条，以更好地维持舟骨复位，并重建舟月骨掌侧和背侧韧带以及舟大多角骨-小多角骨韧带。为说明该技术，我们描述了一例随访17个月的临床病例。
