腕关节三角纤维软骨复合体损伤的关节镜治疗Arthroscopic Management of the Triangular Fibrocartilage Complex Injuries
Young-lae Moon,Sung-jae.Kim,玄文虎
摘要(Abstract):
目的 :对外伤性腕关节三角纤维软骨复合体 (TFCC)损伤关节镜治疗后疗效评价。方法 :选有急慢性外伤史的 13例 14侧腕关节三角纤维软骨复合体损伤病例 ,年龄 2 1~ 45岁 ,平均 2 8.3岁。经关节造影、物理检查及MRI检查有异常者施行关节镜检查 ,其中 8例TFCC中心性撕裂在关节镜下行游离边缘切除术 ,5例 6侧TFCC边缘部撕裂施行缝合修复术 ,术后平均随访 2 8个月。利用Green -O’Brien功能评定方法。结果 :优 9例 ,良 3例 ,可 2例。其中 12例疗效良好以上者恢复原来工作。结论 :对腕关节三角纤维软骨复合体损伤关节镜治疗是明确诊断及术后可以得到良好疗效并早期康复的一种有效术式。
关键词(KeyWords): 三角纤维软骨复合体(TFCC);腕关节镜;缝合术;边缘切除术
基金项目(Foundation): 韩国朝鲜大学科技资助项目 (2 0 0 1 )~~
作者(Author): Young-lae Moon,Sung-jae.Kim,玄文虎
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