Higgin Ryan P C, Hargreaves David G
Department of Orthopaedics, University Hospital Southampton, Tremona Road, Southampton, SO16 6YD, UK.
Department of Orthopaedics, University Hospital Southampton, Tremona Road, Southampton, SO16 6YD, UK.
Hand Clin. 2017 Nov;33(4):717-726. doi: 10.1016/j.hcl.2017.06.003.
The evidence behind management options for midcarpal instability (MCI) is scarce, relying solely on case series. Established treatments cause significant loss of wrist motion. As understanding of the condition has progressed, surgeons have been trying soft tissue techniques. The treatment option should be chosen for the appropriate type and grade of MCI. The Hargreaves grading system for palmar MCI aids treatment decision-making. A possible role for arthroscopy in treatment of MCI has been developed using arthroscopic thermal capsular shrinkage, appropriate for cases with dynamic instabilities. Static deformities require a soft tissue reconstruction or a partial wrist fusion.
腕中关节不稳（MCI）管理方案背后的证据稀缺，仅依赖于病例系列。既定的治疗方法会导致腕关节活动显著丧失。随着对该病症认识的进展，外科医生一直在尝试软组织技术。应根据MCI的适当类型和分级选择治疗方案。哈格里夫斯掌侧MCI分级系统有助于治疗决策。关节镜检查在MCI治疗中的一种可能作用已通过关节镜下热囊收缩得以发展，适用于动态不稳的病例。静态畸形需要进行软组织重建或部分腕关节融合。
