关键词: arthroscopy humpback deformity nonunion scaphoid

来  源:   DOI:10.1016/j.otsr.2022.103294

Abstract:
BACKGROUND: The aim of this study was to assess residual humpback deformity after arthroscopic treatment of scaphoid nonunion.
METHODS: We reviewed the medical records of 47 patients with scaphoid nonunion who underwent arthroscopic treatment between 2012 and 2018. Patients who did not receive an intraoperative bone graft were excluded (10 patients), as were those who did not achieve bone union (three patients). The radiographic assessment consisted of pre- and postoperative radiographs and CT scans.
RESULTS: The radiolunate angle, scapholunate angle and Youm index were measured. At the final follow-up, the scapholunate angle was 54° ± 8° (36°-80°) and the radiolunate angle was 11° ± 7° (2°-45°). The scapholunate angle was significantly different between the preoperative measurement and the last follow-up; however, the radiolunate angle and Youm index did not change significantly.
CONCLUSIONS: Our study found that arthroscopic treatment of scaphoid nonunion with a cancellous bone graft taken from the distal radius results corrects the humpback deformity.
METHODS:
摘要:
背景:本研究的目的是评估关节镜治疗舟骨骨不连后残留的驼背畸形。
方法:我们回顾了2012年至2018年间接受关节镜治疗的47例舟骨骨不连患者的病历。未接受术中植骨的患者被排除在外(10例),以及那些没有实现骨愈合的人(三名患者)。影像学评估包括术前和术后的X线照片和CT扫描。
结果:放射状角度,测量了肩胛骨角和Youm指数。在最后的后续行动中,肩胛骨角为54°±8°(36°-80°),放射像角为11°±7°(2°-45°)。术前测量和末次随访之间的肩胛骨角度有显著差异;然而,放射性像素角度和Youm指数无明显变化。
结论:我们的研究发现,关节镜下治疗舟骨骨不连,从桡骨远端移植松质骨,可以纠正驼背畸形。
方法:
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