一个新的三角纤维软骨复杂疾病的关节镜分类
Guillaume Herzberg1, Marion Burnier2, Lyliane Ly3
1I-Trues Surgery Unit, Orthopedic Department, Clinique Parc Lyon, Lyon, France, Clinique Val Ouest, Lyon Ecully, France.
Journal of wrist surgery
|January 24, 2024
概括
一个新的三角纤维软骨复合体 (TFCC) 疾病的关节镜分类,DRW系统,按盘,绳和壁部件分类病变. 该系统有助于分析退行性和创伤性TFCC损伤.
科学领域:
- 整形外科手术 整形外科手术
- 关节镜检查 (arthroscopy) 是一种关节镜检查.
- 手腕的解剖学 手腕的解剖学
背景情况:
- 腕关节镜对于诊断和治疗三角纤维软骨复合 (TFCC) 疾病至关重要.
- 现有的TFCC病变的关节镜分类缺乏全面性和最近的更新.
研究的目的:
- 为TFCC疾病提出一种全新的综合性关节镜分类.
- 在TFCC最近描述的关节镜解剖学基础上进行分类.
主要方法:
- 将现有的TFCC疾病纳入关节镜,功能和血管解剖框架.
- 包括患者特定的参数,如关节变异和远距离放射关节倾斜.
- 考虑了眼的慢性 (新鲜/慢性) 和可修复性 (可修复/不可修复).
主要成果:
- 引入了DRW分类:盘 (D - 退行性/创伤性),绳索 (R - 创伤性),墙壁 (W - 创伤性).
- 该分类可以轻松识别单独的和组合的TFCC病变.
- 促进对退行性和创伤性TFCC疾病的分析.
结论:
- 拟议的DRW分类提供了TFCC疾病的更新的,三维的,三部分的关节镜描述.
- 这种分类对于理解TFCC损伤的病因和指导治疗原则是重要的.
相关概念视频
Structural Classification of Joints
3.4K
Joints, also known as articulations, are classified based on their structural characteristics, i.e., based on whether the articulating surfaces of the adjacent bones are directly connected by fibrous connective tissue or cartilage, or whether the articulating surfaces contact each other within a fluid-filled joint cavity. These differences serve to divide the joints of the body into three structural classifications.
A fibrous joint is where the adjacent bones are united by fibrous connective...
A fibrous joint is where the adjacent bones are united by fibrous connective...
3.4K
Functional Classification of Joints
4.1K
Functional Classification of Joints
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An...
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An...
4.1K
Classification of Connective Tissues
10.6K
The connective tissues have different properties and functions in the human body. They are broadly categorized into proper, supporting, or fluid connective tissues.
Connective Tissue Proper
Connective tissue proper is the most abundant class of connective tissues. As its name implies, it predominantly connects different tissues in the body. Depending on the cell types, ground substance, viscosity, and fiber types in the ECM, connective tissue proper is further categorized into loose and dense....
Connective Tissue Proper
Connective tissue proper is the most abundant class of connective tissues. As its name implies, it predominantly connects different tissues in the body. Depending on the cell types, ground substance, viscosity, and fiber types in the ECM, connective tissue proper is further categorized into loose and dense....
10.6K
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
Asthma-II: Pathophysiology and Classification
2.7K
Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
2.7K
Structural Joints: Cartilaginous Joints
2.3K
As the name indicates, at a cartilaginous joint, the adjacent bones are united by cartilage, a tough but flexible type of connective tissue. Unlike synovial joints, these types of joints lack a joint cavity and involve bones joined together by either hyaline cartilage or fibrocartilage.
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
2.3K


