PARTIAL EXCISION OF THE TRIANGULAR FIBROCARTILAGE COMPLEX ARTICULAR DISK - A BIOMECHANICAL STUDY

被引:53
作者
ADAMS, BD
机构
[1] Department of Orthopedics and Rehabilitation, University of Vermont College of Medicine, Burlington, VT
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1993年 / 18A卷 / 02期
关键词
D O I
10.1016/0363-5023(93)90371-9
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
A cadaver study was performed to evaluate the effects of partial and complete excisions of the articular disk of the triangular fibrocartilage complex on the kinematics of the distal radioulnar joint and the structural integrity of the triangular fibrocartilage. An excision that did not violate the peripheral 2 mm of the disk and that comprised less than two thirds of the disk area resulted in no significant kinematic or structural changes, but larger excisions produced measurable changes. These results provide further support for limited excision of central triangular fibrocartilage complex tears.
引用
收藏
页码:334 / 340
页数:7
相关论文
共 24 条
[1]
Osterman, Terrill, Arthroscopic treatment of TFCC lesions, Hand Clin, 7, pp. 277-281, (1991)
[2]
Palmer, Triangular fibrocartilage complex lesions: a classification, J Hand Surg, 14 A, pp. 594-606, (1989)
[3]
Palmer, Werner, Glisson, Murphy, Partial excision of the triangular fibrocartilage complex, The Journal of Hand Surgery, 13 A, pp. 403-406, (1988)
[4]
af Ekenstam, Hagert, Anatomical studies on the geometry and stability of the distal radio ulnar joint, Scand J Plast Reconstr Surg, 19, pp. 17-25, (1985)
[5]
Soudan, Van Audekercke, Methods, difficulties and inaccuracies in the study of human joint kinematics and pathokinematics by the instant axis concept. Example: The Knee Joint, J Biomech, 12, pp. 27-33, (1979)
[6]
Dimnet, Carret, Gonon, Fischer, A technique for joint center analysis using a stored program calculator, J Biomech, 9, pp. 771-778, (1976)
[7]
Youm, Dryer, Thambyrajah, Flatt, Sprague, Biomechanical analyses of forearm pronation-supination and elbow flexion-extension, J Biomech, 12, pp. 245-255, (1979)
[8]
Panjabi, Goel, Walter, Errors in kinematic parameters of a planar joint: guidelines for optimal experimental design, J Biomech, 15, pp. 537-544, (1982)
[9]
An, Hui, Morrey, Linscheid, Chao, Muscles across the elbow joint: a biomechanical analysis, J Biomech, 14, pp. 659-669, (1981)
[10]
Wood, Jennings, On the use of spline functions for data smoothing, J Biomech, 12, pp. 477-479, (1979)