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三角纤维软骨复合体全关节镜下无结修复术

Triangular Fibrocartilage Complex Repair All Arthroscopic Knotless.

作者信息

Manley Mollie

机构信息

Department of Orthopedic Surgery, Crystal Clinic Orthopedic Center, Akron, OH.

出版信息

J Hand Surg Glob Online. 2025 May 21;7(4):100742. doi: 10.1016/j.jhsg.2025.100742. eCollection 2025 Jul.

DOI:10.1016/j.jhsg.2025.100742
PMID:40497263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12148483/
Abstract

Triangular fibrocartilage complex repair is an evolving technique. There are techniques to repair the tissue back to capsule or bone. It has been considered the gold standard to repair foveal tears back to bone. This first started as a fully open procedure and evolved to an arthroscopic-assisted procedure with drill holes and tunnels in the ulna. With this current technique, the incisions do not have to be any larger than the arthroscopic port holes.

摘要

三角纤维软骨复合体修复是一项不断发展的技术。存在将组织修复回关节囊或骨骼的技术。将中央凹撕裂修复回骨骼一直被视为金标准。这最初是一种完全开放的手术，后来发展为在尺骨上进行钻孔和隧道的关节镜辅助手术。采用当前这项技术，切口不必比关节镜端口孔大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76ad/12148483/bc4016f5957a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76ad/12148483/7e6330da6266/gr1ah.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76ad/12148483/bc4016f5957a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76ad/12148483/7e6330da6266/gr1ah.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76ad/12148483/bc4016f5957a/gr2.jpg

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1
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本文引用的文献

1
Dry Wrist Arthroscopy: Technique and Rationale.干腕关节镜检查：技术与原理。
Arthroscopy. 2023 Aug;39(8):1779-1780. doi: 10.1016/j.arthro.2023.02.002.
2
Correlation of the Lateral Wrist Radiograph to Ulnar Variance: A Cadaveric Study.腕部外侧X线片与尺骨变异的相关性：一项尸体研究。
J Hand Surg Am. 2018 Oct;43(10):951.e1-951.e9. doi: 10.1016/j.jhsa.2018.02.021. Epub 2018 Mar 27.
3
The "Four-Leaf Clover" Treatment Algorithm: A Practical Approach to Manage Disorders of the Distal Radioulnar Joint.“四叶草”治疗算法：一种管理桡尺远侧关节紊乱的实用方法。
J Hand Surg Am. 2016 Apr;41(4):551-64. doi: 10.1016/j.jhsa.2016.01.005. Epub 2016 Mar 2.
4
Foveal TFCC tear classification and treatment.中央凹处三角纤维软骨复合体撕裂的分类与治疗。
Hand Clin. 2011 Aug;27(3):263-72. doi: 10.1016/j.hcl.2011.05.014.
5
Triangular fibrocartilage complex lesions: a classification.三角纤维软骨复合体损伤：一种分类方法。
J Hand Surg Am. 1989 Jul;14(4):594-606. doi: 10.1016/0363-5023(89)90174-3.