Saito Taichi, Sterbenz Jennifer M, Chung Kevin C
Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, 2130 Taubman Center, SPC 5340, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5340, USA; Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan.
Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, 2800 Plymouth Road, Building 14, G200, Ann Arbor, MI 48109, USA.
Hand Clin. 2017 Nov;33(4):593-605. doi: 10.1016/j.hcl.2017.07.010.
This article shows trends in triangular fibrocartilage complex (TFCC) repair since 1990 by geographic area and year. The repair methods presented in the literature were inside-out, outside-in, all-inside, and open repair. The outside-in technique was reported most often for ulnar-side tears, whereas the inside-out technique was reported most frequently for radial-side tears. Recently, a foveal reattachment technique for ulnar-side tears has garnered attention and has been reported with increasing frequency, especially in Asia, because the deepest portion of TFCC, attached to fovea, plays a key role in stabilizing the distal radioulnar joint. Understanding these trends can help clinicians best treat TFCC tears.
本文展示了自1990年以来按地理区域和年份划分的三角纤维软骨复合体(TFCC)修复趋势。文献中介绍的修复方法有由内向外、由外向内、全关节镜下和切开修复。文献报道中,由外向内技术最常用于尺侧撕裂,而由内向外技术最常用于桡侧撕裂。最近,一种针对尺侧撕裂的中央凹重新附着技术受到关注,且报道频率不断增加,尤其是在亚洲,因为附着于中央凹的TFCC最深部分在稳定桡尺远侧关节方面起着关键作用。了解这些趋势有助于临床医生更好地治疗TFCC撕裂。