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关节镜下腕中关节缝合锚钉修复腕背侧腕间韧带撕脱伤

Arthroscopic Midcarpal Suture Anchor Repair of Dorsal Intercarpal Ligament Avulsion.

作者信息

Chung Sze Ryn, Caloia Martin F, Merlini Lorenzo

机构信息

International Wrist Center, Clinique Bizet, Paris, France.

Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore, Singapore.

出版信息

Arthrosc Tech. 2024 May 18;13(8):103028. doi: 10.1016/j.eats.2024.103028. eCollection 2024 Aug.

Abstract

The dorsal intercarpal ligament (DICL) is crucial for carpal stability and is frequently associated with injuries to other carpal ligaments, notably the scapholunate and lunotriquetral interosseous ligaments. Although isolated DICL injuries are uncommon, they can manifest as ligament avulsions, bony avulsions, or attenuations from chronic injury. Surgical repair of isolated DICL tears may be necessary when conservative management fails. We have previously described the first isolated DICL avulsion from the scaphoid dorsal ridge, suggesting an arthroscopic repair via the radiocarpal joint. This article details a repair technique through the midcarpal joint.

摘要

腕背侧韧带(DICL)对腕关节稳定性至关重要,且常与其他腕关节韧带损伤相关,尤其是舟月骨和月三角骨间韧带损伤。虽然孤立性DICL损伤并不常见,但可表现为韧带撕脱、骨撕脱或慢性损伤导致的韧带变薄。保守治疗失败时,可能需要对孤立性DICL撕裂进行手术修复。我们之前曾描述过首例从舟骨背侧嵴发生的孤立性DICL撕脱伤,提示可通过桡腕关节进行关节镜修复。本文详细介绍一种通过腕中关节的修复技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43fe/11369932/007795329e43/gr1.jpg

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