手法加针灸治疗腕三角软骨损伤50例疗效观察

目的:观察手法复位加针灸治疗腕三角软骨损伤的疗效。方法:50例病例均在牵引的基础上屈伸患腕并推挤突出处复位,在复位的基础上针刺腕骨、阳谷、养老、神门4穴通经活络,并加艾灸加速康复。结果:所有病例经治疗后治愈40例,好转10例,总有效率为100%。结论:手法复位加针灸治疗腕三角软骨损伤效果显著,治疗时间短,是治疗该病比较理想的一种方法。

腕关节三角纤维软骨复合体损伤的MRI诊断及其临床价值

分析腕关节三角纤维软骨复合体(triangular fibrocartilage complex,TFCC)损伤的MRI诊断及其临床价值。方法 将我科2023年3月-2023年8月期间治疗的100例TFCC损伤患者纳入本次实验,所有均接受MRI检查,并应用关节镜最终确诊,结果 ,对MRI的诊断及临床价值进行分析。结果 本实验最终确诊阳性病例78例,阳性率78.00%;阴性病例22例,阴性率22.00%;MRI检查阳性病例76例,阴性病例24例;假性结果2例,为2例假阴性结果;准确率97.44%,敏感性97.50%,特异度100.00%,其中2例假阴性患者均为中央损伤。结论 MRI诊断TFCC损伤具有较高的准确率、敏感性与特异度,是一种安全、高效的检查方法,可进一步研究与推广。

动静结合治疗腕三角软骨损伤

目的:观察动静结合治疗腕三角软骨损伤的疗效。方法:将60例腕三角软骨损伤患者按就诊先后顺序随机分为动静结合治疗组和对照组,每组各30例。动静结合治疗组采取推拿手法加功能锻炼结合医用硬纸板及弹力护腕固定治疗,对照组采取手法复位加医用硬纸板固定结合常规药物治疗。2周为1个疗程,休息1~2 d继续下1个疗程,两组均经3个疗程后观察治疗效果。结果:治疗6周后,动静结合治疗组治愈率为76.67%,明显优于对照组的46.67%;P=0.0276<0.05。通过腕关节功能评分、视觉模拟评分法(visual analogue scale,VAS)疼痛评分、治愈患者恢复时间比较,治疗组均明显优于对照组(P<0.01)。结论:动静结合治疗腕三角软骨损伤治愈率高,治疗时间短,操作方便。

复合手法治疗腕部三角软骨盘损伤临床观察

目的观察复合手法治疗腕部三角软骨盘损伤的临床效果。方法选取腕部三角软骨盘损伤患者60例为研究对象,随机分为治疗组和对照组,每组30例。治疗组患者给予复合手法拔伸、牵拉、归挤治疗,对照组给予扶他林涂抹治疗,比较2组患者治疗后腕关节功能评分、特异性生活质量评分和临床效果。结果治疗组患者腕关节功能评分高于对照组,差异有统计学意义(P<0.05);2组患者治疗后特异性生活质量评分(自我感知、情感功能和社会功能)高于对照组(P<0.05);治疗组患者总好转率为93.33%,对照组为73.33%,2组比较差异有统计学意义(P<0.05)。结论复合手法(拔伸、牵拉、归挤)可以有效改善腕关节功能,提高患者生活质量。

技巧啦啦操队员腕关节三角纤维软骨盘损伤与康复

该文通过录像观察法、文献资料法、访谈法、问卷调查法、数理统计法以武汉体育学院2014级、2017级、2020级技巧啦啦操专项班队员为调查对象,从腕关节功能角度出发对技巧啦啦操队员腕关节损伤原因进行研究。研究发现技巧啦啦操队员运动损伤部位主要为腕部、肩部以及腰部,其中手腕部三角纤维软骨盘损伤占有最大比例。腕关节三角纤维软骨盘损伤从解剖学角度分析原因主要为跌倒、手掌撑地、腕关节过度背伸、前臂旋前或尺侧偏时过度的扭转的情况出现后容易损伤。根据运动康复学科中预防大于损失的原则,技巧啦啦操队员在日常训练中要注意强化手腕功能以预防损伤。

The role of radiocarpal injection arthrography and magnetic resonance imaging in the diagnosis of triangular fibrocartilage complex injuries

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.