关节镜在手和手腕创伤中的作用是什么?
Paul H C Stirling1, Andrew D Duckworth2,3, Julie E Adams4
1Fife Hand Clinic, Queen Margaret Hospital, Dunfermline, UK.
The bone & joint journal
|February 28, 2025
概括
手和手腕受伤的关节镜可改善骨折评估和早期诊断相关伤害. 然而,对于增加的操作时间和潜在的并发症存在担忧,对患者报告的结果的数据有限.
科学领域:
- 整形外科手术 整形外科手术
- 肌肉骨系统成像 运动系统成像
背景情况:
- 手和手腕的关节镜越来越多地用于选择性和创伤设置.
- 虽然支持者强调了诸如改善骨折评估和早期伤害诊断等好处,但存在对延长手术时间和并发症的担忧.
研究的目的:
- 审查有关关节镜在手和手腕受伤管理中的应用现有文献.
- 评估证据支持关节镜干预创伤手和手腕条件的证据.
主要方法:
- 对现有关于手和手腕关节镜在创伤中的研究进行系统审查.
- 对文献的分析,重点是诊断准确性和治疗结果.
主要成果:
- 关节镜有助于评估骨折移位和缩小精度.
- 关节镜检查有助于早期诊断相关损伤.
- 关于患者报告的好处和相关成本的数据有限.
结论:
- 关节镜术在评估和管理手和手腕创伤方面具有潜在的优势.
- 需要进一步的研究,以全面评估患者报告的结果和成本效益.
相关概念视频
Bones of the Upper Limb: Humerus
2.8K
The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
2.8K
Fractures: Bone Repair
2.9K
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...
2.9K
Flail Chest-II
151
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
151
Arteries of the Upper Limbs
354
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
354
Bones of the Upper Limb: Ulna
1.9K
The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
1.9K


