老年人群中桡腕关节和桡尺远侧关节软骨及韧带损伤的发生率。

Incidence of cartilaginous and ligamentous lesions of the radio-carpal and distal radio-ulnar joint in an elderly population.

作者信息

Fortems Y, De Smet L, Dauwe D, Stoffelen D, Deneffe G, Fabry G

机构信息

Department of Orthopaedic Surgery, University Hospital Pellenberg, Leuven, Belgium.

出版信息

J Hand Surg Br. 1994 Oct;19(5):572-5. doi: 10.1016/0266-7681(94)90118-x.

DOI:10.1016/0266-7681(94)90118-x

PMID:7822912

Abstract

51 wrists of 30 embalmed cadavers have been used to perform an anatomical and radiological study relating cartilaginous and ligamentous lesions of the wrist with sex, age, ulnar variance (UV) and the state of the triangular fibrocartilage complex (TFCC) in an elderly population (mean 76.6 years). Two-thirds of all wrists (66%) showed cartilaginous lesions, mainly on the lunate (22, or 44%). The TFCC was perforated in 23 wrists (46%), and most were central degenerative perforations. Correlations were found between ulnar variance and TFCC thickness (P < 0.05) and ulnar variance and TFCC perforations (P < 0.05). A significant relation was observed between age and proximal row intercarpal ligamentous ruptures (P < 0.05) and between age and ulnar variance (P < 0.05). No statistical correlation was seen between ulnar variance and cartilaginous lesions on the lunate (P < 0.05) in this slightly ulnar negative population (mean-0.37 mm).

摘要

30具防腐尸体的51个腕关节用于进行一项解剖学和放射学研究，该研究涉及老年人群（平均年龄76.6岁）手腕的软骨和韧带损伤与性别、年龄、尺骨变异（UV）以及三角纤维软骨复合体（TFCC）状态之间的关系。所有腕关节的三分之二（66%）显示有软骨损伤，主要位于月骨（22个，占44%）。23个腕关节（46%）的TFCC有穿孔，大多数是中央退行性穿孔。发现尺骨变异与TFCC厚度之间存在相关性（P < 0.05），尺骨变异与TFCC穿孔之间也存在相关性（P < 0.05）。观察到年龄与近端腕骨间韧带断裂之间存在显著关系（P < 0.05），年龄与尺骨变异之间也存在显著关系（P < 0.05）。在这个轻微尺骨负向的人群（平均-0.37毫米）中，尺骨变异与月骨软骨损伤之间未发现统计学相关性（P < 0.05）。