目的通过对后踝关节镜患者术后3-6年的随访分析，探讨后踝关节镜患者术后的中期疗效。方法选取2009年6月至2012年12月45例患者在北京大学第三医院运动医学研究所接受后踝关节镜手术，随访42例，其中男25例，女17例，平均年龄（27．1...目的通过对后踝关节镜患者术后3-6年的随访分析，探讨后踝关节镜患者术后的中期疗效。方法选取2009年6月至2012年12月45例患者在北京大学第三医院运动医学研究所接受后踝关节镜手术，随访42例，其中男25例，女17例，平均年龄（27．1±9．6）岁。随访并对比患者术前和术后VAS、AOFAS、Tegner评分及关节活动度等。结果平均随访时间为（58．1±12．0）个月。患者术后VAS评分（0．8 vs 3．0，P〈0．001）、AOFAS评分（93．9 vs 76．5，P〈O．001）及Tegner评分（4．9 vs 3．9，P=0．003）均优于术前水平。疗效优良率为90．5％，合并其他手术的患者优良率与仅行后踝关节镜的患者差异无统计学意义（86．4％ vs 95．0％，P=0．608），2例患者足跟或足底皮肤仍有局部麻木感。结论后踝关节镜术后中期临床效果良好，疼痛和关节功能明显改善，有合并损伤的患者可与其他手术同时进行。展开更多
Objective:: To investigate the radiocarpal joint injection arthrography and magnetic resonance imaging for diagnosis of the triangular fibrocartilage complex (TFCC) injuries. Methods: Thirteen cases whose main complai...Objective:: To investigate the radiocarpal joint injection arthrography and magnetic resonance imaging for diagnosis of the triangular fibrocartilage complex (TFCC) injuries. Methods: Thirteen cases whose main complaints were ulnar wrist pain were given radiocarpal joint arthrography and eight of them were also given magnetic resonance imaging for evaluating the integrity of the triangular fibrocartilage complex. Results: Ten of thirteen cases presented the leakage of contrast medium to distal radioulnar joint from the radiocarpal joint, in whom, 8 were demonstrated triangular fibrocartilage tear on magnetic resonance imaging, and 3 located at radial side, 2 at central, 3 at ulnar side. One of three cases which were demonstrated without the leakage of contrast medium in arthrography were displayed with marked TFCC tear on magnetic resonance imaging. Conclusions: The wrist arthrography can provide a definite diagnosis for triangular fibrocartilage disruption with higher sensitivity. magnetic resonance imaging not only demonstrates the site of triangular fibrocartilage disruption as the same value as wrist arthrography, but also displays the other related bony and soft tissues changes.展开更多
文摘目的通过对后踝关节镜患者术后3-6年的随访分析，探讨后踝关节镜患者术后的中期疗效。方法选取2009年6月至2012年12月45例患者在北京大学第三医院运动医学研究所接受后踝关节镜手术，随访42例，其中男25例，女17例，平均年龄（27．1±9．6）岁。随访并对比患者术前和术后VAS、AOFAS、Tegner评分及关节活动度等。结果平均随访时间为（58．1±12．0）个月。患者术后VAS评分（0．8 vs 3．0，P〈0．001）、AOFAS评分（93．9 vs 76．5，P〈O．001）及Tegner评分（4．9 vs 3．9，P=0．003）均优于术前水平。疗效优良率为90．5％，合并其他手术的患者优良率与仅行后踝关节镜的患者差异无统计学意义（86．4％ vs 95．0％，P=0．608），2例患者足跟或足底皮肤仍有局部麻木感。结论后踝关节镜术后中期临床效果良好，疼痛和关节功能明显改善，有合并损伤的患者可与其他手术同时进行。
文摘Objective:: To investigate the radiocarpal joint injection arthrography and magnetic resonance imaging for diagnosis of the triangular fibrocartilage complex (TFCC) injuries. Methods: Thirteen cases whose main complaints were ulnar wrist pain were given radiocarpal joint arthrography and eight of them were also given magnetic resonance imaging for evaluating the integrity of the triangular fibrocartilage complex. Results: Ten of thirteen cases presented the leakage of contrast medium to distal radioulnar joint from the radiocarpal joint, in whom, 8 were demonstrated triangular fibrocartilage tear on magnetic resonance imaging, and 3 located at radial side, 2 at central, 3 at ulnar side. One of three cases which were demonstrated without the leakage of contrast medium in arthrography were displayed with marked TFCC tear on magnetic resonance imaging. Conclusions: The wrist arthrography can provide a definite diagnosis for triangular fibrocartilage disruption with higher sensitivity. magnetic resonance imaging not only demonstrates the site of triangular fibrocartilage disruption as the same value as wrist arthrography, but also displays the other related bony and soft tissues changes.
