Triangular fibrocartilage complex injuries are common in amateur and professional sports.These injuries are mainly caused by acute or chronic repetitive axial loads on the wrist,particularly on the ulnar side and in a...Triangular fibrocartilage complex injuries are common in amateur and professional sports.These injuries are mainly caused by acute or chronic repetitive axial loads on the wrist,particularly on the ulnar side and in association with rotations or radial/ulnar deviations.In order to treat professional athletes,a detailed specific knowledge of the pathology is needed.Moreover,the clinician should fully understand the specific and unique environment and needs of the athletes,their priorities and goals,the type of sport,the time of the season,and the position played.An early diagnosis and appropriate management with the quickest possible recovery time are the uppermost goals for both the athlete and the surgeon.A compromise between conservative vs surgical indications,athletes’needs and expectations,and financial implications should be achieved.Arthroscopic procedures should be timely planned when indicated as they could allow early diagnosis and treatment at the same time.Conservative measures are often used as first line treatment when possible.Peripheral lesions are treated by arthroscopic repair,whilst central lesions are treated by arthroscopic debridement.Further procedures(such as the Wafer procedure,ulnar osteotomies,etc.)have specific indications and great implications with regard to rehabilitation.展开更多
目的:研究尺骨茎突骨折与乙状切迹骨折对桡骨远端骨折患者术后腕关节功能的影响。方法:选择2006年1月至2016年6月就诊于北京大学人民医院创伤骨科桡骨远端骨折139例患者进行门诊随访,评分参照Gartland and Werley评分,以腕关节疼痛为重...目的:研究尺骨茎突骨折与乙状切迹骨折对桡骨远端骨折患者术后腕关节功能的影响。方法:选择2006年1月至2016年6月就诊于北京大学人民医院创伤骨科桡骨远端骨折139例患者进行门诊随访,评分参照Gartland and Werley评分,以腕关节疼痛为重点进行疗效评定。结果:尺骨茎突基底部骨折组和乙状切迹骨折组的腕关节功能评分较差,尺骨茎突骨折行内固定治疗组的腕关节功能评分明显改善;尺骨茎突基底部骨折组的腕尺侧痛发生率较高;尺骨茎突基底部骨折的愈合率优于尖部骨折。结论:桡骨远端骨折手术治疗总体效果满意,尺骨茎突基底部骨折、乙状切迹骨折是导致桡骨远端骨折患者术后腕关节功能损害的危险因素。尺骨茎突基底部骨折是腕尺侧痛的危险因素之一,尺骨茎突基底部骨折的愈合率优于尖部骨折。尺骨茎突骨折行内固定治疗可改善患者术后腕关节功能。展开更多
Purpose： To study the effects of surgical and nonoperative treatment on wrist function in patients with distal radius fracture. Methods： In total, 97 patients treated for distal radius fracture in the Department of ...Purpose： To study the effects of surgical and nonoperative treatment on wrist function in patients with distal radius fracture. Methods： In total, 97 patients treated for distal radius fracture in the Department of Orthopedic Trauma at the People＇s Hospital of Peking University from Jan. 2010 to Jun. 2016 were selected for outpatient follow-up, including manipulative reduction and dorsal splint fixation in 24 cases, bivalve cast fixation in 19 cases and open reduction and internal fixation in 54 cases. Evaluation was based on Sartiento＇s modification of the Gartland and Werley score. Efficacy was assessed with wrist pain as the focus. Results： The wrist function scores of the surgical group were better than nonoperative groups. There was no significant difference in wrist function scores between the dorsal splint group and the bivalve cast group. The ulnar wrist pain incidence had no significant difference in surgical and nonoperative groups. The displace rate in dorsal splint group was higher than other groups. Conclusion： The overall effect of surgical treatment of distal radius fracture is better than nonoperative treatment. The ulnar wrist pain incidence has no significant difference in these groups. Dorsal splint fixation is more prone to displace than bivalve cast fixation.展开更多
文摘Triangular fibrocartilage complex injuries are common in amateur and professional sports.These injuries are mainly caused by acute or chronic repetitive axial loads on the wrist,particularly on the ulnar side and in association with rotations or radial/ulnar deviations.In order to treat professional athletes,a detailed specific knowledge of the pathology is needed.Moreover,the clinician should fully understand the specific and unique environment and needs of the athletes,their priorities and goals,the type of sport,the time of the season,and the position played.An early diagnosis and appropriate management with the quickest possible recovery time are the uppermost goals for both the athlete and the surgeon.A compromise between conservative vs surgical indications,athletes’needs and expectations,and financial implications should be achieved.Arthroscopic procedures should be timely planned when indicated as they could allow early diagnosis and treatment at the same time.Conservative measures are often used as first line treatment when possible.Peripheral lesions are treated by arthroscopic repair,whilst central lesions are treated by arthroscopic debridement.Further procedures(such as the Wafer procedure,ulnar osteotomies,etc.)have specific indications and great implications with regard to rehabilitation.
文摘目的:研究尺骨茎突骨折与乙状切迹骨折对桡骨远端骨折患者术后腕关节功能的影响。方法:选择2006年1月至2016年6月就诊于北京大学人民医院创伤骨科桡骨远端骨折139例患者进行门诊随访,评分参照Gartland and Werley评分,以腕关节疼痛为重点进行疗效评定。结果:尺骨茎突基底部骨折组和乙状切迹骨折组的腕关节功能评分较差,尺骨茎突骨折行内固定治疗组的腕关节功能评分明显改善;尺骨茎突基底部骨折组的腕尺侧痛发生率较高;尺骨茎突基底部骨折的愈合率优于尖部骨折。结论:桡骨远端骨折手术治疗总体效果满意,尺骨茎突基底部骨折、乙状切迹骨折是导致桡骨远端骨折患者术后腕关节功能损害的危险因素。尺骨茎突基底部骨折是腕尺侧痛的危险因素之一,尺骨茎突基底部骨折的愈合率优于尖部骨折。尺骨茎突骨折行内固定治疗可改善患者术后腕关节功能。
文摘Purpose： To study the effects of surgical and nonoperative treatment on wrist function in patients with distal radius fracture. Methods： In total, 97 patients treated for distal radius fracture in the Department of Orthopedic Trauma at the People＇s Hospital of Peking University from Jan. 2010 to Jun. 2016 were selected for outpatient follow-up, including manipulative reduction and dorsal splint fixation in 24 cases, bivalve cast fixation in 19 cases and open reduction and internal fixation in 54 cases. Evaluation was based on Sartiento＇s modification of the Gartland and Werley score. Efficacy was assessed with wrist pain as the focus. Results： The wrist function scores of the surgical group were better than nonoperative groups. There was no significant difference in wrist function scores between the dorsal splint group and the bivalve cast group. The ulnar wrist pain incidence had no significant difference in surgical and nonoperative groups. The displace rate in dorsal splint group was higher than other groups. Conclusion： The overall effect of surgical treatment of distal radius fracture is better than nonoperative treatment. The ulnar wrist pain incidence has no significant difference in these groups. Dorsal splint fixation is more prone to displace than bivalve cast fixation.
