THE RELEVANCE OF LIGAMENT TEARS OR PERFORATIONS IN THE DIAGNOSIS OF WRIST PAIN - AN ARTHROGRAPHIC STUDY

被引：44

作者：

CANTOR, RM

STERN, PJ

WYRICK, JD

MICHAELS, SE

机构：

[1] Departments of Radiology, Orthopaedic Surgery, and Environmental Health, University of Cincinnati Medical Center, Cincinnati, OH

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1994年 / 19A卷 / 06期

关键词：

D O I：

10.1016/0363-5023(94)90094-9

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This study was designed to assess the clinical significance of arthrographic abnormalities in the ligaments of a painful wrist. This was accomplished by means of comparison arthrography of the asymptomatic wrist. Fifty-six consecutive patients with unilateral wrist pain underwent selective bilateral arthrography to assess interruptions of continuity of the triangular fibrocartilage, lunotriquetral, and scapholunate ligaments. The prevalence of bilaterally symmetric lesions was high. In patients with ligament defects in the symptomatic wrist, 88% of defects near the radial attachment of the triangular fibrocartilage, 59% of lunotriquetral defects, and 57% of scapholunate defects were bilateral. Furthermore, physical examination was not predictive of specific ligament defects. This study raises questions concerning the relevance of interrupted ligaments in the diagnosis of wrist pain.

引用

页码：945 / 953

页数：9

共 36 条

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