Westkaemper J G, Mitsionis G, Giannakopoulos P N, Sotereanos D G
Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center, Lubbock, USA.
Arthroscopy. 1998 Jul-Aug;14(5):479-83. doi: 10.1016/s0749-8063(98)70075-1.
The use of arthroscopy was evaluated in 47 patients who were treated for suspected triangular fibrocartilage complex (TFCC) tears, scapholunate (SL) tears, and/or lunotriquetral (LT) tears. Wrist arthroscopy was performed using traction and standard portals. Any TFCC tear found was debrided to a stable rim. SL and LT tears were debrided to bleeding bone. The range of follow-up was 1.5 to 50 months (average, 15.4 months). Patient grading was determined usin the Mayo Modified Wrist Score. For the 28 patients with TFCC tears, the results were excellent in 13, good in 8, fair in 2, and poor in 5. For the 23 patients with SL tears, the results were 11, 9, 1, and 2, respectively. Of the 5 patients with LT tears, 1 result was excellent, and 4 were poor. Workers compensation did not affect results. Arthroscopic debridement of SL and TFCC tears has proven effective. Debridement of LT tears has not been as successful. Based on our results, we feel that arthroscopic debridement of SL and TFCC tears is warranted.
对47例疑似三角纤维软骨复合体（TFCC）撕裂、舟月（SL）关节撕裂和/或月三角（LT）关节撕裂的患者进行了关节镜检查的评估。采用牵引和标准入路进行腕关节镜检查。发现的任何TFCC撕裂均清创至稳定边缘。SL和LT撕裂清创至骨面渗血。随访时间为1.5至50个月（平均15.4个月）。采用Mayo改良腕关节评分对患者进行分级。对于28例TFCC撕裂患者，结果为优13例、良8例、可2例、差5例。对于23例SL撕裂患者，结果分别为11例、9例、1例和2例。5例LT撕裂患者中，1例结果为优，4例为差。工伤赔偿不影响结果。SL和TFCC撕裂的关节镜清创已被证明有效。LT撕裂的清创效果不佳。根据我们的结果，我们认为对SL和TFCC撕裂进行关节镜清创是必要的。
