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关节镜检查在运动员腕部损伤治疗中的作用。

The role of arthroscopy in the treatment of wrist injuries in the athlete.

作者信息

Whipple T L

机构信息

Department of Orthopaedic Surgery, Medical College of Virginia, Richmond, USA.

出版信息

Clin Sports Med. 1998 Jul;17(3):623-34. doi: 10.1016/s0278-5919(05)70105-8.

Abstract

Wrist arthroscopy provides an ideal means of evaluating intraarticular soft-tissue injuries of the wrist. Many lesions such as tears of the triangular fibrocartilage complex can be treated by arthroscopic means as well. Reduction of articular fractures of the distal radius and pin fixation, reduction of scaphoid fractures and intramedullary fixation, and arthroscopic reduction and transcutaneous pin stabilization of acute carpal dissociation patterns can all be accomplished with minimally invasive techniques under arthroscopic control. These measures often provide the athlete with shorter periods of immobilization and earlier return to athletic competition. Wrist arthroscopy provides a very useful adjunct to the treatment armamentarium of all sports medicine physicians.

摘要

腕关节镜检查为评估腕关节内软组织损伤提供了理想的方法。许多损伤,如三角纤维软骨复合体撕裂,也可通过关节镜手段进行治疗。桡骨远端关节骨折的复位与克氏针固定、舟骨骨折的复位与髓内固定,以及急性腕骨脱位模式的关节镜下复位与经皮克氏针固定,均可在关节镜控制下采用微创技术完成。这些措施通常能使运动员缩短固定时间,更早重返体育比赛。腕关节镜检查是所有运动医学医生治疗手段中非常有用的辅助方法。

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