经骨和关节囊联合修复伴关节不稳定的TFCC撕裂-迈向全面关节稳定的一步。

IF 4.4 1区医学 Q1 ORTHOPEDICS

Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2025-06-20 DOI:10.1016/j.arthro.2025.06.014

Julia A V Nuelle

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引用次数: 0

摘要

三角纤维软骨复合体（TFCC）撕裂累及中央凹附着是远端尺桡关节（DRUJ）不稳定的已知原因。虽然经骨修复深TFCC纤维是一种被广泛接受的恢复DRUJ不稳定的技术，但在一部分患者中，持续性不稳定仍然是一个临床挑战。经骨修复联合掌背囊修复是治疗Atzei 2类TFCC撕裂时需要考虑的重要技术。这种不断发展的方法反映了对TFCC作为一个复杂的稳定单元而不是一个孤立的韧带结构的更全面的认识。

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Editorial Commentary: Combined Transosseous and Capsular Repair for Triangular Fibrocartilage Complex Tears With Distal Radioulnar Joint Instability-A Step Toward Comprehensive Joint Stabilization.

Triangular fibrocartilage complex (TFCC) tears involving the foveal attachment are a known cause of distal radioulnar joint instability. While transosseous repair of the deep TFCC fibers is a widely accepted technique for restoring distal radioulnar joint instability, persistent instability remains a clinical challenge in a subset of patients. Combining transosseous repair with volar and dorsal capsular repair is an important technique to consider when treating Atzei Class 2 TFCC tears. This evolving approach reflects a more comprehensive appreciation of the TFCC as a complex stabilizing unit, rather than an isolated ligamentous structure.

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来源期刊

Arthroscopy-The Journal of Arthroscopic and Related Surgery 医学-外科

CiteScore

9.30

自引率

17.00%

发文量

555

审稿时长

58 days

期刊介绍： Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.