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尺骨-三角骨增强腱固定术:一种用于桡尺远侧关节背侧半脱位的重建手术。

Ulnotriquetral augmentation tenodesis: a reconstructive procedure for dorsal subluxation of the distal radioulnar joint.

作者信息

Hui F C, Linscheid R L

出版信息

J Hand Surg Am. 1982 May;7(3):230-6. doi: 10.1016/s0363-5023(82)80171-8.

DOI:10.1016/s0363-5023(82)80171-8
PMID:7086089
Abstract

Isolated posttraumatic dorsal subluxation of the distal ulna was surgically treated in eight patients by reduction of the subluxation and by a tenodesing procedure that used a tendon slip of flexor carpi ulnaris. The repair also imbricated the dorsal radioulnar ligament upon itself, and the forearm was secured in supination by a Kirschner wire. All patients had improved stability of the distal radioulnar joint: five had complete and three had satisfactory relief of pain. Slight residual joint laxity was noted in three patients and mild residual limitation of pronation in all, although the patients did not consider the limitations to be functionally important. All patients returned to improved functional activity.

摘要

8例尺骨远端创伤后孤立性背侧半脱位患者接受了手术治疗,通过复位半脱位并采用尺侧腕屈肌腱束进行腱固定术。修复还将背侧桡尺韧带自身重叠缝合,并用克氏针将前臂固定于旋后位。所有患者桡尺远侧关节稳定性均有改善:5例疼痛完全缓解,3例疼痛缓解满意。3例患者存在轻微的关节残余松弛,所有患者均有轻度的旋前残余受限,不过患者认为这些受限在功能上并不重要。所有患者恢复后的功能活动均有改善。

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