Haugstvedt Jan Ragnar, Søreide Endre
Hand Surgery, Department of Orthopedics, Østfold Hospital Trust, Box 300, Graalum N-1714, Norway.
Department of Orthopedic Surgery, Oslo University Hospital, Ullevål, Box 4956 Nydalen, Oslo N-0242, Norway.
Hand Clin. 2017 Nov;33(4):607-618. doi: 10.1016/j.hcl.2017.06.005.
Patients suffering from ulnar-sided wrist pain after trauma may develop tenderness, clicking, a positive fovea sign, or instability of the distal radioulnar joint. If the pain is persistent, conservative treatment does not help, and the patient agrees to surgery, arthroscopy may reveal a triangular fibrocartilage complex (TFCC) injury with capsular detachment, foveal avulsion, or a combination thereof. Capsular reattachment is possible using an arthroscopic assisted technique. The reattachment can be performed with an inside-out, outside-in, or all-inside technique, providing good to excellent results, which tend to persist over time, in 60% to 90% of cases.
创伤后尺侧腕部疼痛的患者可能会出现压痛、弹响、阳性凹征或桡尺远侧关节不稳定。如果疼痛持续存在，保守治疗无效，且患者同意手术，关节镜检查可能会发现三角纤维软骨复合体（TFCC）损伤合并关节囊附着处分离、凹征撕脱或两者皆有。使用关节镜辅助技术可以进行关节囊重新附着。重新附着可以采用由内向外、由外向内或全关节镜内技术进行，在60%至90%的病例中能取得良好至极佳的效果，且随着时间推移效果往往能持续。
