CAJ | 학술논문

目的介绍桡骨远端骨折时,腕关节韧带(舟月骨间韧带、月三角韧带和三角纤维软骨复合体)损伤的关节镜观察.方法对27例桡骨远端骨折,采用腕关节镜辅助治疗,观察舟月骨间韧带、月三角韧带和三角纤维软骨复合体的损伤情况,通过Gsssler腕部韧带损伤等级分型方法和Palmer方法记录损伤级别.采用卡方检验,分析腕关节韧带损伤程度与骨折类型之间的关系.结果 27例腕关节镜下观察均出现舟月骨间韧带、月三角韧带损伤,损伤为Ⅰ～Ⅱ级;25例有三角纤维软骨复合体损伤,损伤大多为Ⅰa型;腕部韧带损伤的程度与骨折的分型无显著关系.结论桡骨远端骨折时,腕部韧带损伤率较高,采用腕关节镜辅助治疗有利于准确发现腕部韧带的损伤.
목적 개소뇨골원단골절시,완관절인대(주월골간인대、월삼각인대화삼각섬유연골복합체)손상적관절경관찰.방법 대27례뇨골원단골절,채용완관절경보조치료,관찰주월골간인대、월삼각인대화삼각섬유연골복합체적손상정황,통과Gsssler완부인대손상등급분형방법화Palmer방법기록손상급별.채용잡방검험,분석완관절인대손상정도여골절류형지간적관계.결과 27례완관절경하관찰균출현주월골간인대、월삼각인대손상,손상위Ⅰ～Ⅱ급;25례유삼각섬유연골복합체손상,손상대다위Ⅰa형;완부인대손상적정도여골절적분형무현저관계.결론 뇨골원단골절시,완부인대손상솔교고,채용완관절경보조치료유리우준학발현완부인대적손상.
Objective To report te incidence and extent of injuries of the scapholunate interosseous ligament (SLIL), lunotriquetral interosseous ligament (LTIL) and triangular fibrocartilage complex (TFCC)observed under wrist srthroscope during treatment of distal radius fractures.Methods Twenty-seven cases of distal radius fractures were treated with wrist arthroscopic assistance.Distal radius fractures were categorized using AO classification.Injuries of SLIL and LTIL were viewed and graded by Geissler's arthroscopic classification of carpal instability/intercarpal ligament injuries.TFCC lesions were recorded by Palmer's classification.Chi square statistical analysis was used to analyze the relationship between the extent of these ligament injuries and the types of distal radius fractures.Results All 27 cases had SLIL and LTIL injuries of grade Ⅰ to grade Ⅱ.25 cases had type Ⅰa TFCC lesions.There was no significant correlation between ligament injuries and the types of fractures.Conclusion There is a high incidence of ligament injury accompanying distal radius fractures.Wrist arthroscope assisted treatment of distal radius fractures can enhance the accurate detection of these carpal ligament injuries.