腕关节镜技术治疗三角纤维软骨复合体损伤的研究进展

Research Progress on Wrist Arthroscopy for Triangular Fibrocartilage Complex Injury

三角纤维软骨复合体(triangular fibrocartilage complex,TFCC)是腕关节尺侧的重要组成部分,其损伤会导致腕尺侧疼痛、活动受限、握力下降以及下尺桡关节不稳,给患者工作和日常生活造成极大困扰,也是一直以来临床上研究的问题之一。对部分TFCC损伤患者保守治疗可取得一定的治疗效果,但仍有部分患者需通过手术的方法进行治疗。近年来腕关节镜技术逐渐发展应用,为TFCC损伤的治疗带来新的进展,逐渐成为TFCC损伤的主要治疗手段。本研究对TFCC的解剖及生物力学、损伤诊断、分型以及近年来腕关节镜技术治疗TFCC各型损伤的研究进展进行综述。

Triangular fibrocartilage complex(TFCC)is an important part of the ulnar carpal joint.Its injury can lead to ulnar carpal pain,limited activity,decreased grip strength and instability of the lower radioulnar joint,which causes great trouble to the work and daily life of patients.It is also one of the problems in clinical research.Conservative treatment for some patients with TFCC injury can achieve certain therapeutic effect.But there are still some patients need to be treated by surgery.In recent years,wrist arthroscopy technology has gradually developed and applied,which has also brought new progress for the treatment of TFCC injury,and has gradually become the main treatment of TFCC injury.This article reviews the anatomy and biomechanics,diagnosis and classification of TFCC,and the research progress of wrist arthroscopy in the treatment of TFCC injuries in recent years.