状三角纤维软骨复杂病理:一种潜在的未被认可的损伤
Benjamin Welling1, Sanjeev Kakar2
1Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
The Journal of hand surgery, European volume
|October 26, 2023
概括
一个案例系列显示,三角纤维软骨复合体 (TFCC) 损伤的关节镜修复改善了手腕功能. 临床怀疑是关键,因为稳定的关节和正常的MRI扫描可能会错过这些TFCC撕裂.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 手和手腕手术手术手术
背景情况:
- 三角纤维软骨复合体 (TFCC) 的状撕裂可以导致侧手腕疼痛.
- 诊断可能具有挑战性,磁共振成像 (MRI) 显示出对骨损伤的敏感性有限.
研究的目的:
- 介绍一系列患者的病例系列,这些患者患有骨TFCC损伤,并通过关节镜辅助修复进行治疗.
- 评估这种手术方法的临床结果.
主要方法:
- 一个24名患者的病例系列进行了关节镜辅助TFCC骨修复.
- 通过关节镜检查评估远端放射性关节 (DRUJ) 的稳定性,通过关节镜检查发现关节裂痕的存在,以及MRI发现.
- 在平均18个月的随访期评估疼痛,运动范围,握力和功能评分.
主要成果:
- 所有24名患者都通过关节镜检查确认了叶撕裂,尽管DRUJ稳定性各不相同.
- 核磁共振仅检测了23个骨损伤中的8个.
- 在治疗后,疼痛,运动范围,握力和功能评分均有显著改善.
结论:
- 关节镜辅助的TFCC骨修复是对骨TFCC损伤的有效治疗方法.
- 稳定的DRUJ和正常的MRI并不能排除状TFCC损伤,因此需要对侧手腕疼痛高度临床怀疑.
- 早期诊断和治疗可以带来有利的功能结果.
相关概念视频
Association Areas of the Cortex
5.4K
Association areas are regions of the cerebral cortex that do not have a specific sensory or motor function. Instead, they integrate and interpret information from various sources to enable higher cognitive processes such as memory, learning, and decision-making. Some key association areas include the following:
Prefrontal Association Area: This area is located in the frontal lobe and is involved in planning, decision-making, and moderating social behavior. It connects with primary motor areas,...
Prefrontal Association Area: This area is located in the frontal lobe and is involved in planning, decision-making, and moderating social behavior. It connects with primary motor areas,...
5.4K
Fibril-associated Collagen
2.5K
Fibril-associated collagens are a type of collagens present in the extracellular matrix with interrupted triple helices or FACIT (Fibril-associated collagens interrupted triple-helices). FACIT help connect and attach the collagen fibrils with each other as well as with other proteins of the extracellular matrix.
For example, the type II collagen fibrils in cartilage have covalently bound type IX fibril-associated collagens at regular intervals. Other types of fibril-associated collagens are...
For example, the type II collagen fibrils in cartilage have covalently bound type IX fibril-associated collagens at regular intervals. Other types of fibril-associated collagens are...
2.5K
Fractures: Bone Repair
3.3K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.3K
Accessory Structures of the Eye
1.6K
Optical perception, or vision, is an extraordinary sense dependent on converting light signals received via the ocular organs. These organs, known as eyes, are securely positioned within the bony cavities of the skull, called orbits. The orbits serve a dual purpose: a protective shield for the ocular globes and a stable attachment point for the soft ocular tissues. The eye's external protective mechanisms include the eyelids, which are edged with lashes that act as a barrier against foreign...
1.6K


