Watson H K, Ballet F L
J Hand Surg Am. 1984 May;9(3):358-65. doi: 10.1016/s0363-5023(84)80223-3.
Four thousand wrist x-ray films were reviewed to establish the pattern of sequential changes in degenerative arthritis of the wrist. After eliminating all other arthritides, we studied 210 cases of degenerative arthritis. The most common pattern (57%) was arthritis between the scaphoid, lunate, and radius; 27% of cases occurred between the scaphoid, trapezium, and trapezoid; a combination of these two patterns occurred in 15%. Twenty operations were performed on 19 patients with the scapholunate advanced collapse pattern. Eighteen of 19 patients had less pain postoperatively and none required pain medication. Flexion-extension and radial-ulnar deviation motions showed considerable improvement after the operation.
回顾了4000份腕部X光片，以确定腕部退行性关节炎的连续变化模式。在排除所有其他关节炎后，我们研究了210例退行性关节炎病例。最常见的模式（57%）是舟月骨与桡骨之间的关节炎；27%的病例发生在舟状骨、大多角骨和小多角骨之间；这两种模式的组合发生在15%的病例中。对19例舟月骨晚期塌陷模式的患者进行了20次手术。19例患者中有18例术后疼痛减轻，无一例需要止痛药物。术后屈伸和桡尺偏斜运动有明显改善。
