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[腕关节的静态与动态解剖放射学]

[Static and dynamic anatomo-radiology of the wrist].

作者信息

Schernberg F

出版信息

Ann Chir Main. 1984;3(4):301-12. doi: 10.1016/s0753-9053(84)80004-6.

DOI:10.1016/s0753-9053(84)80004-6
PMID:6529311
Abstract

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.

摘要

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。

相似文献

1
[Static and dynamic anatomo-radiology of the wrist].[腕关节的静态与动态解剖放射学]
Ann Chir Main. 1984;3(4):301-12. doi: 10.1016/s0753-9053(84)80004-6.
2
[Traditional radiology in the assessment of posttraumatic carpal instability].[传统放射学在创伤后腕关节不稳评估中的应用]
Radiol Med. 1997 Sep;94(3):157-65.
3
Wrist injuries: pitfalls in conventional imaging.腕部损伤:传统影像学检查的陷阱
Eur J Radiol. 1996 Mar;22(1):11-21. doi: 10.1016/0720-048x(95)00702-r.
4
Injuries of the wrist: an approach to diagnosis.手腕损伤:诊断方法
Radiol Clin North Am. 1981 Dec;19(4):625-44.
5
[Dynamic radiologic examination of the wrist].[手腕的动态放射学检查]
Rev Chir Orthop Reparatrice Appar Mot. 1983;69(7):521-31.
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[Sprains and dislocations of the wrist joint and carpal bones].[腕关节和腕骨的扭伤与脱位]
Langenbecks Arch Chir. 1988;Suppl 2:205-9.
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[Views necessary for the traumatic wrist].[创伤性手腕所需的视图]
Ann Radiol (Paris). 1995;38(5):255-65.
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Roentgenographic examination of the wrist: a systematic study of the normal, lax and injured wrist. Part 1: The standard and positional views.腕部的X线检查:对正常、松弛及损伤腕部的系统研究。第1部分:标准位和体位片
J Hand Surg Br. 1990 May;15(2):210-9. doi: 10.1016/0266-7681_90_90126-o.
9
Forearm and wrist radiology: Part II.前臂及腕部放射学:第二部分。
J Emerg Med. 1989 Sep-Oct;7(5):491-6. doi: 10.1016/0736-4679(89)90152-2.
10
Trans-scaphoid, transcapitate, transtriquetral, perilunate fracture-dislocation of the wrist. A case report.经舟骨、经头状骨、经三角骨、月骨周围腕关节骨折脱位。病例报告。
J Bone Joint Surg Am. 1972 Jul;54(5):1073-8.

引用本文的文献

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The modern history of the wrist.手腕的现代史。
J Wrist Surg. 2012 Nov;1(2):95-102. doi: 10.1055/s-0032-1320012.
2
Kinematics of the wrist using 2D and 3D analysis: biomechanical and clinical deductions.使用二维和三维分析的手腕运动学:生物力学与临床推断
Surg Radiol Anat. 2004 Oct;26(5):399-410. doi: 10.1007/s00276-004-0260-0.
3
Postero-anterior radiography of the wrist: scapholunate ratios and joint projection shape analysis.腕关节后前位X线摄影:舟月骨比率及关节投影形态分析
Surg Radiol Anat. 1999;21(3):207-13. doi: 10.1007/BF01630903.