Síndrome de impactación ulnocarpiano, manejo artroscópico

Vicente Carratalá Baixauli , Francisco Javier Lucas , Rafael Calero Ferrandis , Eduardo Sánchez Alepuz
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引用次数: 2

Abstract

Ulnocarpal impaction is one of the most common causes of ulnar-sided wrist pain. It is a progressive degenerative condition caused by chronic impaction of the ulnar head against the triangular fibrocartilage (TFC) and the ulnar portion of the carpus. The aim of surgical treatment is to perform a decompression of the ulnar column of the wrist, in the ulnocarpal joint.

With the advances in wrist arthroscopic surgery it is possible to shorten the ulnar head (Wafer procedure) by an arthroscopic approach, at the same time as assessing and treating the injuries associated with the ulnar impaction (TFC injuries, chondral injuries, lunopyramidal ligament tears, synovitis, etc.), thus allowing a more complete and accurate treatment, and with some very satisfactory results.

尺腕嵌塞是导致尺侧腕关节疼痛的最常见原因之一。这是一种进行性退行性疾病,由尺头对三角形纤维软骨(TFC)和腕骨尺部的慢性嵌塞引起。手术治疗的目的是在尺腕关节处对腕尺柱进行减压。随着腕部关节镜手术技术的进步,可以通过关节镜入路缩短尺骨头(Wafer手术),同时评估和治疗与尺骨嵌塞相关的损伤(TFC损伤、软骨损伤、月锥体韧带撕裂、滑膜炎等),从而使治疗更加完整和准确,并取得了一些非常令人满意的结果。
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