Schernberg F
Ann Chir Main. 1984;3(4):301-12. doi: 10.1016/s0753-9053(84)80004-6.
Carpal instability is a difficult problem and a static as well as a dynamic radioanatomical study of the wrist is indispensable for correct diagnosis. This study is based on the description of the variations of the aspects of the bones of the proximal carpal row. An analysis of the projection of each individual bone was made, and thus, the author was able to describe the radioanatomical features of the wrist in three positions: neutral, radial and ulnar deviation. Secondly, the author points out the modifications produced on a normal wrist by active and passive loading. On the posteroanterior views, the most important stresses seem to be rotational (pronosupination) and translational. On the lateral views, the anterior and posterior "drawer" movements are particularly interesting. The author emphasizes the features of normal, lax and pathological wrist patterns.
腕关节不稳是一个难题,对腕关节进行静态和动态的放射解剖学研究对于正确诊断必不可少。本研究基于对近端腕骨排各骨形态变异的描述。对每块独立骨骼的投影进行了分析,因此,作者能够描述腕关节在中立位、桡偏位和尺偏位三个位置的放射解剖学特征。其次,作者指出了主动和被动负荷对正常腕关节产生的改变。在正位片上,最重要的应力似乎是旋转(旋前旋后)和平移。在侧位片上,前后“抽屉”运动尤其值得关注。作者强调了正常、松弛和病理性腕关节模式的特征。