关节镜清理 Palmer 2C 型三角纤维软骨复合体中央退行性病变的长期疗效。
Long-term outcome after arthroscopic debridement of Palmer type 2C central degenerative lesions of the triangular fibrocartilage complex.
机构信息
Hand Surgery, Vulpius Klinik, Vulpius Straße 29, 74906, Bad Rappenau, Germany.
Department of Medical Biometry and Informatics, Ruprecht-Karls University Heidelberg, Im Neuenheimer Feld 305, 69120, Heidelberg, Germany.
出版信息
Arch Orthop Trauma Surg. 2021 Oct;141(10):1807-1814. doi: 10.1007/s00402-021-03918-9. Epub 2021 May 1.
PURPOSE
The purpose of this study was to report long-term objective and patient-reported outcome after arthroscopic debridement of central degenerative triangular fibrocartilage complex (TFCC) lesions.
METHODS
A total of 17 patients with central degenerative TFCC (Palmer type 2C) lesions and ulnar positive variance who were treated by arthroscopic debridement were retrospectively reviewed. Mean follow-up was 8.8 years. Assessment facilitating the Modified Mayo Wrist score (MMWS), the Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH score), recording of pain level and of patient satisfaction, and radiological examination were done.
RESULTS
Patients reached a pain level of 1.7 VAS, MMW score of 92, and DASH score of 22. No significant differences could be detected between the operated and the contralateral extremity regarding range of motion and grip strength for all patients. No perioperative complications occurred.
CONCLUSION
Arthroscopic debridement of central degenerative TFCC lesions is safe, reliable, and efficacious even for ulnar positive variance.
LEVEL OF EVIDENCE
Therapeutic IV.
目的
本研究旨在报告关节镜下治疗中央退行性三角纤维软骨复合体（TFCC）病变的长期客观和患者报告的结果。
方法
回顾性分析了 17 例接受关节镜下清创术治疗的中央退行性 TFCC（Palmer 2C 型）病变伴尺侧阳性变异的患者。平均随访 8.8 年。采用改良 Mayo 腕关节评分（MMWS）、上肢残疾问卷（DASH 评分）、疼痛程度和患者满意度记录以及影像学检查进行评估。
结果
患者的疼痛水平为 1.7 VAS，MMW 评分为 92，DASH 评分为 22。所有患者的活动度和握力在手术侧和对侧之间均无显著差异。无围手术期并发症发生。
结论
关节镜下清创术治疗中央退行性 TFCC 病变是安全、可靠且有效的，即使对于尺侧阳性变异也是如此。
证据水平
治疗性 IV 级。
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