Minami A, Ishikawa J, Suenaga N, Kasashima T
Department of Orthopedic Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
J Hand Surg Am. 1996 May;21(3):406-11. doi: 10.1016/s0363-5023(96)80353-4.
In order to determine indications for arthroscopic debridement and the management of triangular fibrocartilage complex (TFCC) tears, we reviewed 16 wrists retrospectively. The mean patient age was 30 years, with a range of 20 to 53 years. The follow-up period averaged 35 months. Two groups were identified: post-traumatic tears (n = 11) and degenerative tears (n = 5). The results of arthroscopic debridement were compared and analyzed based on the preoperative and postoperative evaluation of pain, range of motion, grip strength, return to work, patient acceptance, and complications. Failures were further evaluated to determine identifiable lesions or anatomic defects associated with poor results. Patients with positive ulnar variance and lunotriquentral interosseous ligament tears had a poor clinical outcome. Good results correlated with grip strength; all patients with post-traumatic TFCC tears had excellent results, while those with degenerative TFCC tears did poorly.
为了确定关节镜下清创的适应症以及三角纤维软骨复合体（TFCC）撕裂的处理方法，我们回顾性分析了16例腕关节病例。患者平均年龄为30岁，年龄范围在20至53岁之间。随访期平均为35个月。分为两组：创伤性撕裂（n = 11）和退变性撕裂（n = 5）。基于术前和术后对疼痛、活动范围、握力、恢复工作情况、患者接受度及并发症的评估，对关节镜下清创的结果进行比较和分析。对治疗失败的病例进一步评估，以确定与不良结果相关的可识别病变或解剖缺陷。尺骨正向变异和月三角骨间韧带撕裂的患者临床结果较差。良好的结果与握力相关；所有创伤性TFCC撕裂的患者结果均优异，而退变性TFCC撕裂的患者效果不佳。
