Brunelli G A, Brunelli G R
Clinique Orthopédique de l'Université de Brescia, Spedali Civili, Italia.
Ann Chir Main Memb Super. 1995;14(4-5):207-13. doi: 10.1016/s0753-9053(05)80415-6.
A new operation for correcting carpal instability with scapholunate dissociation is presented. Rupture of the volar scaphoid-trapezium-trapezoid ligament (i.e. the fibrous sheath of the F.C.R.) is recognized to play a prominent role in the etiology of this instability. The scar formed in between the scaphoid and lunate bones is removed as well as that formed between scaphoid, trapezium and trapezoid. A slip of F.C.R. is passed throughout a tunnel pierced in the distal pole of the scaphoid. The slip is then sutured to the dorsolunar ridge of the distal radius with correction of both the dissociation and the scaphoid flexion. The operation is easy and quick. Eleven cases are presented with satisfactory results.
本文介绍了一种用于纠正舟月骨分离所致腕骨不稳的新手术。掌侧舟骨-大多角骨-小多角骨韧带（即桡侧腕屈肌腱纤维鞘）断裂被认为在这种不稳的病因中起重要作用。舟骨与月骨之间以及舟骨、大多角骨和小多角骨之间形成的瘢痕均被切除。桡侧腕屈肌的一束肌腱穿过在舟骨远极钻的隧道。然后将该肌腱束缝合至桡骨远端的背侧月骨嵴，同时纠正分离和舟骨屈曲。该手术操作简便快捷。本文报告了11例患者，结果满意。
