Wahed Karim, Deore Saurabh, Bhan Kavyansh, Vinay Sheela, Jayasinghe Gihan, Dutta Agneish, Singh Bijayendra
Department of Trauma & Orthopaedics, East Sussex Healthcare NHS Trust, The Ridge, St Leonards-On-Sea, East Sussex, TN37 7RD, UK.
Department of Trauma & Orthopaedics, Medway NHS Foundation Trust, Windmill Road, Gillingham, Kent, ME7 5NY, UK.
J Clin Orthop Trauma. 2020 Jul-Aug;11(4):529-536. doi: 10.1016/j.jcot.2020.05.022. Epub 2020 Jun 11.
Scapholunate ligament is the most commonly injured ligament in the wrist and requires accurate diagnosis and treatment. It presents with pain, stiffness and can lead to carpal instability as well as degenerative arthritis if left untreated, with subsequent loss of function and disability. There are several management options currently available but there is no consensus on how best to manage a wrist with chronic sequelae of scapholunate ligament injury. This review explores available evidence in the literature on optimal treatment options including non-operative and operative procedures, relevant surgical techniques and their associated outcomes. A summary of the current concepts in the management of Chronic Scapholunate ligament injury is presented.
舟月韧带是腕关节中最常受伤的韧带,需要准确的诊断和治疗。它表现为疼痛、僵硬,如果不治疗,可能导致腕关节不稳定以及退行性关节炎,随后会出现功能丧失和残疾。目前有几种治疗选择,但对于如何最佳治疗患有舟月韧带损伤慢性后遗症的腕关节,尚无共识。本综述探讨了文献中关于最佳治疗选择的现有证据,包括非手术和手术方法、相关手术技术及其相关结果。本文总结了慢性舟月韧带损伤治疗的当前概念。