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舟月韧带损伤

Scapholunate Ligament Injuries.

作者信息

Zhou Joanne Y, Jodah Riasoya, Joseph Lauren P, Yao Jeffrey

机构信息

Department of Orthopaedic Surgery, Stanford University Medical Center, Redwood City, CA.

Stanford School of Medicine, Palo Alto, CA.

出版信息

J Hand Surg Glob Online. 2024 Apr 1;6(3):245-267. doi: 10.1016/j.jhsg.2024.01.015. eCollection 2024 May.

Abstract

Injuries to the scapholunate interosseous ligament (SLIL) complex can result in a predictable cascade of incongruous motion in the carpus that leads to radiocarpal degeneration. Both acute traumatic impact and repetitive motion can render the SLIL insufficient. A thorough understanding of SLIL anatomy is required for appropriate diagnosis and treatment. Here, we review scapholunate ligament anatomy, prevention strategies, methods of diagnosis, nonoperative and operative treatments, and outcomes. A myriad of treatment options exist for each stage of the SLIL injury, and management should be an open discussion between the patient and physician.

摘要

舟月骨间韧带(SLIL)复合体损伤可导致腕骨出现一系列可预测的不协调运动,进而导致桡腕关节退变。急性创伤性撞击和重复性运动均可致使SLIL功能不全。为了进行恰当的诊断和治疗,需要对SLIL的解剖结构有透彻的了解。在此,我们回顾舟月韧带的解剖结构、预防策略、诊断方法、非手术及手术治疗方法以及治疗效果。对于SLIL损伤的每个阶段都有众多治疗选择,治疗方案应是患者与医生之间的充分讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b070/11133945/0877f4a38e62/gr1.jpg

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