PDF(Pubmed)
Abstract：
Various pathologies of the adult carpus result in clinical scenarios where excision can be considered and even recommended. In the appropriate patient population, isolated carpal excision can alleviate pain and improve mobility. Excisions of the pisiform, trapezium, and trapezoid have abundant literature evidence to support positive long-term functional outcomes. In contrast, isolated excision of the capitate, hamate, and triquetrum has limited support in the literature secondary to compromise of carpal mechanics and lead to recurrent pain. Additionally, isolated scaphoid and lunate excision are best avoided secondary to carpal collapse and should be paired with concomitant stabilizing procedures in the carpus. This article provides a comprehensive literature review of isolated excision of each osseous carpal bone, their indications, and previously assessed outcomes.
摘要：
成人腕骨的各种病理导致可以考虑甚至推荐切除的临床情况。在适当的患者群体中，孤立的腕骨切除可以减轻疼痛并改善活动能力。盘形切除术，梯形,梯形和梯形有丰富的文献证据支持积极的长期功能结果。相比之下,孤立地切除头状，Hamate,和三角纹在继发于腕骨力学受损并导致复发性疼痛的文献中的支持有限。此外,孤立的舟骨和月骨切除最好避免继发于腕骨塌陷，并且应与腕骨的稳定手术同时进行。这篇文章提供了一个全面的文献综述，孤立的切除各骨腕骨，他们的适应症，和以前评估的结果。
