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TFCC桌面提升试验:用于检测手掌1B TFCC病变的临床工具

Lucian Lior Marcovici¹, Alessandro Greco¹, Beatrice Chiossi²

¹Hand and Microsurgery Unit, Jewish Hospital, Rome, Italy.

Journal of hand and microsurgery

|September 22, 2025

概括

新型TFCC Table Lift (TTL) 测试可以准确检测外围三角纤维软骨复合体 (TFCC) 损伤,特别是Palmer 1B病变. 这种简单的临床工具表现出高灵敏度和特异性,有助于诊断侧手腕疼痛.

科学领域:

整形外科手术整形外科手术
运动医学运动医学
肌肉骨成像系统的成像

背景情况:

侧手腕疼痛通常源于三角纤维软骨复合体 (TFCC) 损伤,造成诊断挑战.
对TFCC病变的标准临床试验缺乏足够的灵敏度和特异性.
腕关节镜是黄金标准,但对于外围TFCC病变 (Palmer 1B) 需要一个可靠的临床工具.

研究的目的:

引入和验证TFCC桌式升降 (TTL) 测试,用于检测Palmer 1B TFCC损伤.
为了将TTL测试得分与关节镜检测结果和Atzei分类相关联.
评估TTL测试在评估腰侧手腕疼痛方面的诊断效用.

主要方法:

一项追溯病例控制研究,对314名患有单边慢性腰侧手腕疼痛的患者进行.
患者接受了手术前的TTL测试 (用手指尖完全俯卧/伸展抬起表面) 和视觉模拟量表 (VAS) 评分.
关节镜检查证实了Palmer 1B TFCC病变,使用Atzei系统进行分类;统计分析了TTL得分.

主要成果:

213名患者患有帕尔默1BTFCC病变 (第一组),在TTL测试中所有得分都超过5分 (平均得分因Atzei类而异).
101名患者有其他手腕疾病 (2组),大多数在TTL测试中得分为<3.
该TTL测试显示了100%的灵敏度,97.03%的特异性,AUC为0.999 (最佳值VAS>5).

结论:

TFCC桌式抬头 (TTL) 测试是一种简单,可重复和准确的临床工具.
TTL测试有效检测Palmer 1B TFCC病变,并与病变严重程度相关联.
一个TTL分数>5是帕尔默1BTFCC病变的强有力的指标,在侧手腕疼痛评估中很有价值.

关键词:

帕尔默1B病变的发生这是TFCC的TFCC.在TFCC的电梯台上进行测试.关节手腕疼痛关节手腕疼痛手腕关节镜检查手腕的关节镜检查

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