关节炎性手腕的管理：并发症的预防与处理
Managing the arthritic wrist: Complication prevention and management.
作者信息
Tang Camelia Qian Ying, Fok Margaret Woon Man, Chung Sze-Ryn, Choudhury Muntasir Mannan, Chin Andrew Yuan Hui
机构信息
Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore.
Department of Orthopaedics and Traumatology, Queen Mary Hospital, The University of Hong Kong, Hong Kong.
出版信息
J Clin Orthop Trauma. 2025 Jan 4;62:102877. doi: 10.1016/j.jcot.2024.102877. eCollection 2025 Mar.
Wrist arthroscopy presents a significant learning curve, necessitating various precautions to avoid complications like tendon laceration or nerve injury. Arthroscopic procedures become even more challenging in arthritic wrists due to altered anatomy and reduced joint space, which in turn increase the risk of complications. In this review article, we offer tips and tricks to minimize these risks. Despite the challenges, wrist arthroscopy remains a valuable diagnostic and therapeutic tool when performed by an experienced surgeon with thorough preoperative planning and careful patient selection.
腕关节镜检查存在显著的学习曲线，需要采取各种预防措施以避免诸如肌腱撕裂或神经损伤等并发症。由于解剖结构改变和关节间隙减小，在患有关节炎的手腕中进行关节镜手术更具挑战性，这反过来又增加了并发症的风险。在这篇综述文章中，我们提供了一些技巧和窍门来尽量降低这些风险。尽管存在挑战，但当由经验丰富的外科医生进行，并进行全面的术前规划和仔细的患者选择时，腕关节镜检查仍然是一种有价值的诊断和治疗工具。
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