腕关节镜辅助尺骨短缩截骨术治疗尺骨撞击综合征21例临床分析
摘要
目的分析腕关节镜辅助尺骨短缩截骨术治疗尺骨撞击综合征的效果。方法选取2016-01—2018-01间郑州市骨科医院收治的21例尺骨撞击综合征患者,均采用腕关节镜辅助尺骨短缩截骨术。术后随访6～24个月,评价腕关节功能、疼痛缓解效果及截骨愈合情况。结果末次随访,截骨全部愈合良好,平均愈合时间10周。腕关节疼痛明显缓解,腕关节功能优11例、良8例、可2例。结论腕关节镜辅助尺骨短缩截骨术治疗尺骨撞击综合征,可有效改善腕关节疼痛及腕关节功能,促进截骨愈合。
引文
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[2]Yin HW,Qiu YQ.Arthroscopic distal metaphyseal ulnar shortening osteotomy for ulnar impaction syndrome:a different technique[J].Hand Surg Am,2013,38(11):2257-2262.
[3]马炜,田文.尺骨撞击综合征的诊断和治疗[J].中国骨与关节杂志,2014,2(3):213-215.
[4]Nishiwaki M,Nakamura T.Ulnar-shortening effect on distal radioulnar joint pressure:a biomechanical study[J].Hand Surg Am,2008,33(2):198-205.
[5]Bickel KD.Arthroscopic treatment of ulnar impaction syndrome[J].Hand Surg Am,2008,33(8):1420-1423.
[6]Sachar K.Ulnar-sided wrist pain:evaluation and treatment of triangular fibrocartilage complex tears,ulnocarpal impaction syndrome,and lunotriquetral ligament tears[J].Hand Surg,Am,2008,33(9):1669-1679.
[7]李学渊,王扬剑,孙涛.尺骨斜形截骨短缩技术结合关节镜治疗尺骨撞击综合征[J].中华手外科杂志,2014,30(3):177.