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如何对舟月关节复合体进行完整的关节镜评估。

How to Perform a Complete Arthroscopic Assessment of the Scapholunate Joint Complex.

作者信息

Goorens Chul Ki, Van Royen Kjell, Scheerlinck Thierry, Duerinckx Joris, Mathoulin Christophe

机构信息

Department of Orthopaedics and Traumatology, International Wrist Center Tienen, Regionaal Ziekenhuis Tienen, Tienen, Belgium.

Department of Orthopaedic Surgery and Traumatology, OLVZ Aalst, Aalst, Belgium.

出版信息

Arthrosc Tech. 2024 Aug 15;14(1):103174. doi: 10.1016/j.eats.2024.103174. eCollection 2025 Jan.

DOI:10.1016/j.eats.2024.103174
PMID:39989677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11843283/
Abstract

Scapholunate instability can result in debilitating pain, dysfunction, and secondary arthritis. Diagnosis is primarily based on a combination of clinical and radiological parameters. However, wrist arthroscopy is regarded as the gold standard for definitive confirmation to identify the extent of a scapholunate instability, with specific attention to the integrity of the extrinsic ligamentous system, which is probably more important than the intrinsic ligament. We discuss how to perform a step-by-step, comprehensive, and complete arthroscopic assessment of the entire scapholunate complex.

摘要

舟月关节不稳可导致使人衰弱的疼痛、功能障碍及继发性关节炎。诊断主要基于临床和影像学参数的综合判断。然而，腕关节镜检查被视为明确确认舟月关节不稳程度的金标准，尤其要关注外在韧带系统的完整性，这可能比内在韧带更为重要。我们将讨论如何对整个舟月复合体进行逐步、全面且完整的关节镜评估。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a8/11843283/6f13ab61eea7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a8/11843283/c3691ffd3131/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a8/11843283/7a7bed8ec086/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a8/11843283/ecf8678ec8f4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a8/11843283/73936d28fc01/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a8/11843283/2dd6b200c8e3/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a8/11843283/e91e21f43bf4/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a8/11843283/5019f47633cc/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a8/11843283/999160501532/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a8/11843283/0432fd6999e8/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a8/11843283/ac3003ab94b1/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a8/11843283/aa6a7b59de8d/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a8/11843283/9c713a6bedbf/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a8/11843283/f3f46451e694/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a8/11843283/3dc947d6f548/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a8/11843283/327cf32b7052/gr16.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a8/11843283/dc2f9b04ef77/gr19.jpg

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Scapholunate injuries: challenging existing dogmas in anatomy and surgical techniques.
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J Hand Surg Eur Vol. 2021 Jan;46(1):5-13. doi: 10.1177/1753193420956319. Epub 2020 Sep 20.
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The Anatomy of the Dorsal Capsulo-Scapholunate Septum: A Cadaveric Study.背侧关节囊-舟月间隔的解剖学：一项尸体研究。
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