尺骨撞击综合征研究进展  

Research progress in ulna impingement syndrome

作　　者：王凯 郑奕 周黎辉 WANG Kai;ZHENG Yi;ZHOU Lihui(Ningbo Fourth Hospital,Ningbo 315700,China)

机构地区：[1]宁波市第四医院,浙江宁波315700

出　　处：《沈阳医学院学报》2024年第2期200-203,共4页Journal of Shenyang Medical College

摘　　要：尺骨撞击综合征是导致腕关节尺侧疼痛的主要原因,它是由于腕关节尺侧结构中尺骨头、三角纤维软骨复合体、月骨、三角骨之间反复发生撞击,导致腕关节尺侧长期超负荷,影响局部血供和关节润滑液的营养障碍,最终引起一系列病理改变和临床症状的关节退行性疾病。主要临床表现为腕关节尺侧的疼痛,且随着反复强力抓握活动、前臂旋前或腕部的尺偏而逐渐加重。目前该疾病的诊断主要依靠症状、查体、影像学检查及腕关节镜检查。尺骨撞击综合征可选择保守治疗,但效果往往不佳,近年来手术仍为主要的治疗方式。手术方法主要包括尺骨短缩截骨术、Wafer术、Darrach术和Sauvé-Kapandji术等,以前2种手术方式目前最为常用。现就该疾病的诊断及治疗进展进行综述。Ulna impingement syndrome is the main cause of wrist ulnar pain.It is caused by repeated impingement between the ulnar bone,triangular fibrocartilage complex,lunate bone and triangular bone,resulting in long-term overload of the ulnar side of wrist,affecting local blood supply and joint lubrication fluid nutrition disorders,and finally causing a series of pathological changes and clinical symptoms of joint degenerative diseases.The main clinical manifestations are pain on the ulnar side of the wrist,which gradually aggravated with repeated strong grasping activities,forearm pronation or ulnar deviation of the wrist.At present,the diagnosis of ulna impingement syndrome mainly depends on the symptoms,physical examination,imaging examination and wrist arthroscopy.Conservative treatment can be selected for ulnar impaction syndrome,but the effect is often poor.Therefore,surgery is still the main treatment.The surgical methods mainly include ulna shortening osteotomy,Wafer,Darrach and Sauvé-Kapandji,and the former two are the most commonly used.This article reviews the progress of diagnosis and treatment of ulna impingement syndrome.

关 键 词：尺骨撞击综合征 尺骨正变异 尺骨短缩截骨术 Wafer术 

分 类 号：R684[医药卫生—骨科学]