Wachtl S W, Sennwald G R
Orthopädische Universitätsklinik Balgrist, Zürich, Suisse.
Int Orthop. 1995;19(6):339-45. doi: 10.1007/BF00178345.
An arthroscopy was carried out on 23 wrist joints following trauma. There were 11 women and 12 men with a mean age of 36 years, and they were followed up for an average of 33 months. Statistically significant differences were observed in the radiolunate and scapho-lunate angles between the injured and normal sides. Arthroscopy detected 72 ligament tears, an average of 3 per wrist, compared with 1 per wrist demonstrated by arthrography. However the findings of the two investigations did not correlate, indicating that both are worth undertaking. Chondromalacia was seen in 10 wrists, mostly in the radiocarpal and mid carpal joints. On the basis of the findings at arthroscopy, conservative treatment was followed in 60% of the patients and the investigation was of great help in planning operation in the remainder.
对23例创伤后腕关节进行了关节镜检查。其中女性11例，男性12例，平均年龄36岁，平均随访33个月。患侧与正常侧的桡月角和舟月角存在统计学显著差异。关节镜检查发现72处韧带撕裂，平均每个腕关节3处，而关节造影显示每个腕关节平均1处。然而，两项检查的结果并不相关，表明两者都值得进行。10个腕关节出现软骨软化，主要位于桡腕关节和腕中关节。根据关节镜检查结果，60%的患者接受了保守治疗，该检查对其余患者的手术规划有很大帮助。
