TFCC损伤与腕部骨折相关性分析

Correlation analysis between TFCC injury and wrist fracture

目的探讨三角纤维软骨复合体(TFCC)损伤与腕部骨折的相关性。方法选取2010年1月至2023年4月该院因前臂创伤行腕部磁共振成像平扫患者168例,依据Palmer分型标准将其分为TFCC损伤组(118例)和TFCC无损伤组(50例)。同时根据血管分布和临床治疗策略将TFCC损伤组进一步分为TFCC单处损伤组(58例)和TFCC多处损伤组(60例),比较各组桡骨远端伴尺骨茎突骨折、桡骨远端骨折、尺骨茎突骨折情况,分析TFCC损伤与腕部骨折相关性。结果TFCC损伤组、TFCC无损伤组中桡骨远端伴尺骨茎突骨折、桡骨远端骨折、尺骨茎突骨折情况比较,差异有统计学意义(P<0.05),且桡骨远端伴尺骨茎突骨折、桡骨远端骨折、尺骨茎突骨折分别与TFCC损伤具有相关性(Phi系数=0.204、0.164、0.462)。TFCC单处损伤组、TFCC多处损伤组中桡骨远端骨折伴尺骨茎突骨折、桡骨远端骨折情况比较,差异有统计学意义(P<0.05),且桡骨远端骨折伴尺骨茎突骨折、桡骨远端骨折分别与TFCC多处损伤具有相关性(Phi系数=0.254、0.222)。桡骨远端骨折C型与TFCC多处损伤具有相关性(Phi系数=0.340)。桡骨远端骨折C型伴尺骨茎突Ⅱ型、桡骨远端骨折A型伴尺骨茎突骨折Ⅰ型分别与TFCC多处损伤具有相关性(Phi系数=0.335、0.349)。结论TFCC多处损伤与腕部骨折具有一定相关性。

Objective To explore the correlation between triangular fibrocartilage complex(TFCC)injury and wrist fractures.Methods A total of 168 patients who underwent wrist magnetic resonance imaging plain scan due to forearm trauma in the hospital from January 2010 to April 2023 were selected and divided into the TFCC injury group(118 cases)and the TFCC non injury group(50 cases)according to Palmer's classification criteria.At the same time,according to the distribution of blood vessels and clinical treatment strategies,the TFCC injury group was further divided into the TFCC single injury group(58 cases)and the TFCC multiple injury group(60 cases).The conditions of distal radius with ulnar styloid process fracture,distal radius fracture,and ulnar styloid process fracture were compared in each group,and the correlation between TFCC injury and wrist fracture was analyzed.Results The comparison of distal radius with ulnar styloid process fracture,distal radius fracture,and ulnar styloid process fracture between the TFCC injury group and the TFCC non injury group showed statistically significant differences(P<0.05).Moreover,distal radius with ulnar styloid process fracture,distal radius fracture,and ulnar styloid process fracture were correlated with TFCC injury,respectively(Phi coefficient=0.204,0.164,0.462).The comparison of distal radius fracture with ulnar styloid process fracture and distal radius fracture between the TFCC single injury group and the TFCC multiple injury group was statistically significant(P<0.05),and the distal radius fracture with ulnar styloid process fracture and distal radius fracture were correlated with TFCC multiple injuries,respectively(Phi coefficient=0.254,0.222).C-type distal radius fracture was correlated with TFCC multiple injuries(Phi coefficient=0.340).Distal radius fracture type C with ulnar styloid process type Ⅱ and distal radius fracture type A with ulnar styloid process typeⅠwere correlated with multiple injuries in TFCC,respectively(Phi coefficient=0.335,0.349).Conclusion There is a certain correlation between multiple injuries in TFCC and wrist fractures.