Chu-Kay Mak Michael, Ho Pak-Cheong
Division of Hand and Microsurgery, Department of Orthopaedic and Traumatology, Prince of Wales Hospital, Chinese University of Hong Kong, 5F, Lui Che Woo Clinical Sciences Building, 30-32 Ngan Shing Street, Shatin, NT, Hong Kong SAR.
Division of Hand and Microsurgery, Department of Orthopaedic and Traumatology, Prince of Wales Hospital, Chinese University of Hong Kong, 5F, Lui Che Woo Clinical Sciences Building, 30-32 Ngan Shing Street, Shatin, NT, Hong Kong SAR.
Hand Clin. 2017 Nov;33(4):625-637. doi: 10.1016/j.hcl.2017.07.014.
Injury of the triangular fibrocartilage complex (TFCC) is a common cause of ulnar-sided wrist pain. Volar and dorsal radioulnar ligaments and their foveal insertion are the most important stabilizing components of the TFCC. In irreparable tears, anatomic reconstruction of the TFCC aims to restore normal biomechanics and stability of the distal radioulnar joint. We proposed a novel arthroscopic-assisted technique using a palmaris longus tendon graft. Arthroscopic-assisted TFCC reconstruction is a safe and effective approach with outcomes comparable to conventional open reconstruction and may result in a better range of motion from minimizing soft tissue dissection and subsequent scarring.
三角纤维软骨复合体（TFCC）损伤是尺侧腕部疼痛的常见原因。掌侧和背侧桡尺韧带及其在小凹处的附着是TFCC最重要的稳定组成部分。在不可修复的撕裂中，TFCC的解剖重建旨在恢复桡尺远侧关节的正常生物力学和稳定性。我们提出了一种使用掌长肌腱移植的新型关节镜辅助技术。关节镜辅助下TFCC重建是一种安全有效的方法，其结果与传统的开放重建相当，并且由于软组织解剖和随后的瘢痕形成最小化，可能会带来更好的活动范围。
