Corso S J, Savoie F H, Geissler W B, Whipple T L, Jiminez W, Jenkins N
Tuckahoe Orthopaedic Associates, Richmond, Virginia, USA.
Arthroscopy. 1997 Feb;13(1):78-84. doi: 10.1016/s0749-8063(97)90213-9.
A multicenter study to assess arthroscopic reconstruction of the peripheral attachment of the triangular fibrocartilage complex was undertaken. A total of 44 patients (45 wrists) from three institutions were reviewed. Twenty-seven of the 45 wrists had associated injuries, including distal radius fracture (4), partial or complete rupture of the scapholunate (7), lunotriquetral (9), ulnocarpal (2), or radiocarpal (2) ligaments. There were two fractured ulnar styloids and one scapholunate accelerated collapse (SLAC) wrist deformity. The peripheral tears were repaired using a zone-specific repair kit. The patients were immobilized in a munster cast, allowing elbow flexion and extension, but no pronation or supination for 4 weeks, followed by 2 to 4 weeks in a short arm cast or VersaWrist splint. All patients were reexamined independently 1 to 3 years postoperatively by a physician, therapist, and registered nurse. The results were graded according to the Mayo modified wrist score. Twenty-nine of the 45 wrists were rated excellent. 12 good, 1 fair, and 3 poor. Overall, 42 of the 45 patients (93%) rated as satisfactory and returned to sports or work activities. One patient had chronic pain, and two patients had ulnar nerve symptoms, although motion was normal in all, and their grip strength was at least 75% of the opposite hand. Arthroscopic repair of peripheral tears of the triangular fibrocartilage complex (TFCC) is a satisfactory method of repairing these injuries.
开展了一项多中心研究，以评估关节镜下三角纤维软骨复合体周边附着处的重建情况。对来自三个机构的44例患者（45个腕关节）进行了回顾性研究。45个腕关节中有27个合并有其他损伤，包括桡骨远端骨折（4例）、舟月韧带部分或完全断裂（7例）、月三角韧带（9例）、尺腕韧带（2例）或桡腕韧带（2例）。有2例尺骨茎突骨折和1例舟月关节加速塌陷（SLAC）腕关节畸形。周边撕裂伤采用特定区域修复套件进行修复。患者用芒斯特石膏固定，允许肘关节屈伸，但4周内不允许旋前或旋后，之后用短臂石膏或VersaWrist夹板固定2至4周。所有患者在术后1至3年由医生、治疗师和注册护士独立进行复查。结果根据Mayo改良腕关节评分进行分级。45个腕关节中有29个评为优秀，12个为良好，1个为一般，3个为差。总体而言，45例患者中有42例（93%）评定为满意，并恢复了运动或工作活动。1例患者有慢性疼痛，2例患者有尺神经症状，尽管所有人的活动均正常，且其握力至少为对侧手的75%。关节镜下修复三角纤维软骨复合体（TFCC）周边撕裂伤是修复这些损伤的一种令人满意的方法。
