创伤性单纯月骨无菌性坏死分期及治疗方法选择

Staging and treatment of traumatic simple KienbOck's disease

月骨无菌性坏死是临床上导致腕部疼痛的常见原因。经历超过1个世纪的研究,关于月骨无菌性坏死的病因学、发病机制及临床治疗虽然都有进展,但是其发病机制仍然不明确。目前,普遍认为创伤导致月骨血供破坏是造成月骨无菌性坏死的病因之一。根据不同分类,治疗方式有很多种,但仍无统一和明确的治疗方案。腕关节镜技术是治疗月骨无菌性坏死的新方法。笔者从创伤性单纯月骨无菌性坏死的不同分期、治疗方式等方面进行阐述,为临床治疗此类疾病提供参考。

Aseptic necrosis of lunate bone(Kienbock's disease)is a common cause of wrist pain in clinic.After more than a century of research,although progress has been made in the etiology,pathogenesis and clinical treatment of lunar bone aseptic necrosis,its pathogenesis remains unclear.At present,it is generally believed that the blood supply destruction of lunar bone due to trauma is one of the causes for aseptic necrosis of lunar bone.Treatment varies according to different classifications,yet without unified or clarified therapeutic regimen.Wrist arthroscopy is a new method for Kienbock's disease.This article reviews the different stages and treatment methods of traumatic simple Kienbock's disease,providing reference for clinical treatment.