关节镜辅助的状甲酸囊的临床结果:一个案例系列
Sanjeev Kakar1, Hayman Lui1,2
1Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
Journal of wrist surgery
|October 16, 2023
概括
关节镜辅助的 volar scapholunate capsulodesis有效地治疗飞行SLIL损伤,显示显著的疼痛减轻和改善手腕功能. 这种微创技术为患者提供了积极的短期临床结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 手腕生物力学 手腕生物力学
背景情况:
- 骨间带 (SLIL) 损伤可能导致手腕不稳定和疼痛.
- 对于SLIL损伤的传统开放外科手术技术可能涉及显著的软组织破坏.
- 关节镜辅助的飞囊解剖为解决SLIL病理的治疗提供了一个不那么侵入性的替代方案.
研究的目的:
- 为了评估与关节镜辅助的飞甲酸盐 (SL) 囊剂治疗飞SLIL损伤的临床结果.
- 评估术后疼痛,运动范围,握力和功能评分的改善.
- 为了确定这种技术作为替代治疗选择的有效性.
主要方法:
- 对六名接受关节镜辅助飞SL囊切除的患者进行前性审查.
- 术后结果的评估包括视觉模拟尺度 (VAS) 疼痛,手臂,肩膀和手的快速残疾 (QuickDASH),梅奥手腕评分,握力和运动范围.
- 斯卡福隆酸盐 (SL) 间隙,SL 角度和射线酸盐角度的放射评价.
主要成果:
- 血管神经系统疼痛评分 (8~0.7,p=0.00004) 的显著降低和梅奥手腕评分 (42~80,p=0.001) 的改善.
- 抓地力 (86%的相反侧面) 和曲弧 (81%的相反侧面) 的积极趋势.
- 在SL间隙 (p=0.03) 中发现了术后改善,SL角度和辐射角度的改善趋势.
结论:
- 关节镜辅助的飞行SL囊切除显示了治疗飞行SLIL损伤的积极短期临床结果.
- 该程序在SLIL病理的治疗算法中提供了一种可行的替代性手术选择.
- 最少的侵入性方法可能会导致有利的功能恢复和疼痛缓解.
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