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尺腕撞击综合征。硅胶片手术的随访

The ulno-carpal abutment syndrome. Follow-up of the wafer procedure.

作者信息

Schuurman A H, Bos K E

机构信息

Department of Plastic, Reconstructive and Hand Surgery, University of Amsterdam, The Netherlands.

出版信息

J Hand Surg Br. 1995 Apr;20(2):171-7. doi: 10.1016/s0266-7681(05)80045-2.

DOI:10.1016/s0266-7681(05)80045-2
PMID:7797965
Abstract

Seven wrists in six patients with ulno-carpal abutment syndrome were treated by a subchondral distal ulna resection (wafer procedure). The average follow-up was 36 months. Wrist function was evaluated using a clinical scoring chart. The parameters were pain, range of motion, grip strength and activities. One patient had a poor result, one a fair result and the remaining had good to excellent results. In all cases grip strength showed dramatic improvement. Complications were limited to palpable subcutaneous nylon sutures requiring removal in three patients and extensor carpi ulnaris tendinitis in one.

摘要

对6例尺腕撞击综合征患者的7只手腕进行了尺骨远端软骨下切除术(薄片手术)。平均随访36个月。使用临床评分表评估手腕功能。参数包括疼痛、活动范围、握力和活动情况。1例患者效果差,1例效果尚可,其余患者效果良好至极佳。所有病例的握力均有显著改善。并发症仅限于3例患者可触及的皮下尼龙缝线需拆除,1例患者出现尺侧腕伸肌腱炎。

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