William Beaumont Army Medical Center, El Paso, TX, USA.
Walter Reed National Military Medical Center, Bethesda, MD, USA.
Hand (N Y). 2020 Sep;15(5):674-678. doi: 10.1177/1558944719828007. Epub 2019 Feb 14.
Triangular fibrocartilage complex tears are a common source of ulnar-sided wrist pain and distal radioulnar joint instability. Symptoms recalcitrant to conservative management or injuries in high-demand athletes may indicate surgical management. Both open and arthroscopic techniques offer improvements in objective measures, patient-centered outcome scores, and return to work, but may be complicated by nerve irritation, persistent wrist instability, and pain. Recently developed knotless arthroscopic techniques are not well studied but may limit morbidity.
三角纤维软骨复合体撕裂是尺侧腕部疼痛和桡尺远侧关节不稳定的常见原因。经保守治疗无效的症状或高需求运动员的损伤可能需要手术治疗。开放性和关节镜技术均可改善客观指标、以患者为中心的结局评分和恢复工作，但可能会出现神经刺激、持续腕部不稳定和疼痛等并发症。最近开发的无结关节镜技术研究较少，但可能会降低发病率。
