Lichtman David M, Pientka William F
Department of Surgery, Uniformed Services University, School of Medicine, Bethesda, MD.
Department of Orthopaedic Surgery, JPS Health Network, Fort Worth, TX.
J Hand Surg Am. 2023 Feb;48(2):188-192. doi: 10.1016/j.jhsa.2022.09.023. Epub 2022 Nov 3.
Although midcarpal instability was first described almost 45 years ago, this uncommon condition is still poorly understood by most clinicians today. Adding to the confusion, it is known by 2 different names: midcarpal instability and carpal instability nondissociative. In this article, we describe the history of the recognition of instability of the midcarpal joint, including its pathomechanics, classification, and treatment. We hope that a more complete understanding of the etymology and kinematics of the disorder will facilitate its future recognition and assist in appropriate treatment decision making.
尽管腕中关节不稳在近45年前就首次被描述,但如今大多数临床医生对这种不常见的病症仍知之甚少。更令人困惑的是,它有两个不同的名称:腕中关节不稳和非分离性腕关节不稳。在本文中,我们描述了腕中关节不稳的认识历史,包括其病理力学、分类和治疗。我们希望对该病症的词源和运动学有更全面的了解,将有助于其未来的识别,并协助做出恰当的治疗决策。