摘要
目的探讨桡骨远端骨折疗效欠佳的原因,及其与骨折伴发的软组织损伤的关系。方法对65例桡骨远端骨折内固定物取出术后,经平均1．8年随访的患者,选择其中20例(评分为良4例,可11例,差5例)进行腕关节MRI检查,观察关节软骨和腕尺侧三角纤维软骨(triangularfibro cartilage,TFC)的损伤情况。结果MRI检查发现,9例有明显的TFC损伤(占45％,其中评分为良1例,可3例,差5例)。8例有桡骨远端关节软骨的损伤(40％,评分为可3例,差5例)。结论TFC损伤和创伤性关节炎可能是影响桡骨远端骨折疗效,造成术后腕部慢性疼痛的主要原因。
objective To present postoperative wrist MRI findings of patients with distal radius fractures, and investigate the relationship between soft tissue injury and treatment outcome of the fracture. Methods From October 2003 to June 2005, 20 cases of distal radius fractures that had had internal fixation removed and had follow-up for an average of one year and eight months were involved in the study. Six cases were male, while fourteen cases were female, The average age was 44 years. The treatment results were evaluated by Gartland and Werley score system （Sarmiento modified, 1975）. Meanwhile wrist MRI was performed to investigate the cartilage of the distal radius and triangularfibro cartilage. The relationship between the wrist MRI findings and treatment outcome was investigated. Results Treatment results of these 20 cases were graded as good for 4 cases, fair for 11 cases, and poor for 5 cases. Positive MRI findings of TFC injury were seen in 9 cases （45 % ）. 1 of them was of good result grading, 3 of fair result, and 5 of poor result. Cartilage injury of the distal radius was seen on wrist MRI of 8 cases （40%）. 3 of them were graded to have fair results, while the other 5 poor results. Conclusion TFC injury and traumatic arthritis are the major factors which influence the treatment effect, and the main cause which results in wrist pain.
出处
《中华手外科杂志》
CSCD
北大核心
2006年第4期204-205,共2页
Chinese Journal of Hand Surgery
基金
国家十五科技攻关计划课题(2003BA712A11-12)
