Glowacki K, Koch R B, Weiss A P, Akelman E
The Mayo Clinic, Rochester, Minnesota, USA.
Am J Orthop (Belle Mead NJ). 1997 Mar;26(3):193-200.
Disorders of the distal radioulnar joint can be classified into functional abnormalities based on instability, incongruity of the joint surface, impaction, and isolated triangular fibrocartilage complex tears. Knowledge of the type of lesion aids in selecting the treatment option best suited to correcting each problem. This review begins by summarizing the anatomy of the distal radioulnar joint. It then examines the various clinical problems that may arise in this complicated anatomic area and outlines the different surgical and nonsurgical options available to treat these disorders. The most important aspect in treatment of disorders of the distal radioulnar joint is early recognition, followed by prompt appropriate surgical or nonsurgical management.
桡尺远侧关节紊乱可根据不稳定、关节面不平整、撞击以及孤立的三角纤维软骨复合体撕裂等情况分为功能异常。了解损伤类型有助于选择最适合纠正每个问题的治疗方案。本综述首先总结桡尺远侧关节的解剖结构。然后研究在这个复杂解剖区域可能出现的各种临床问题,并概述治疗这些疾病可用的不同手术和非手术选择。桡尺远侧关节紊乱治疗中最重要的方面是早期识别,然后迅速进行适当的手术或非手术处理。