Asmus A, Harhaus-Wähner L, Eichenauer F
Klinik für Hand‑, Replantations- und Mikrochirurgie, BG-Klinikum Unfallkrankenhaus Berlin, Charité - Universitätsmedizin Berlin, Warener Str. 7, 12683, Berlin, Deutschland.
Unfallchirurgie (Heidelb). 2025 Sep 10. doi: 10.1007/s00113-025-01621-7.
The wrist extends anatomically and functionally from the distal forearm to the metacarpal bones and encompasses the entire carpal region. The large number of bones and joints involved are stabilized in a highly complex system of extrinsic and intrinsic ligaments, which enables a variety of different movements and stability in all positions for the best possible use of the hands. While injuries to individual ligaments or joints, most commonly the scapholunate (SL) ligament, can cause major problems the injuries associated with perilunate dislocations and dislocated fractures represent one of the greatest challenges in hand surgery.
腕部在解剖学和功能上从前臂远端延伸至掌骨,涵盖整个腕骨区域。大量的骨骼和关节通过一个由外在和内在韧带组成的高度复杂系统得以稳定,这使得在所有位置都能进行各种不同的运动并保持稳定,以便手部能得到最佳使用。虽然个别韧带或关节的损伤,最常见的是舟月(SL)韧带损伤,可能会导致严重问题,但与月骨周围脱位和脱位骨折相关的损伤是手部手术中最大的挑战之一。