The Management of Ulnocarpal Abutment and Degenerative Triangular Fibrocartilage Complex Tears in the Competitive Athlete

被引:21
作者
Jarrett, Claudius D. [2 ]
Baratz, Mark E. [1 ,3 ,4 ,5 ]
机构
[1] Allegheny Gen Hosp, Dept Orthopaed Surg, Div Upper Extrem Surg, Pittsburgh, PA 15212 USA
[2] Emory Univ, Dept Orthopaed Surg, Sch Med, Emory Orthopaed Ctr, Atlanta, GA 30329 USA
[3] Drexel Univ, Coll Med, Philadelphia, PA 19104 USA
[4] Allegheny Gen Hosp, Orthopaed Residency Program, Pittsburgh, PA 15212 USA
[5] Allegheny Gen Hosp, Orthopaed Fellowship Program, Pittsburgh, PA 15212 USA
关键词
Ulnar impaction syndrome; Ulnocarpal abutment; TFCC tear; Athlete; ULNAR SHORTENING OSTEOTOMY; WAFER RESECTION; ARTHROSCOPIC TREATMENT; IMPACTION SYNDROME; WRIST PAIN; VARIANCE; DEBRIDEMENT;
D O I
10.1016/j.hcl.2012.05.018
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
Ulnar-sided wrist pain is a frequent cause for loss of practice time and competitive play for athletes. Ulnocarpal abutment, a common source of ulnar-sided pain, typically burdens athletes who participate in gymnastics, racket sports, and baseball. Although many athletes respond to nonoperative management, surgical intervention should be considered when symptoms persist. Surgical options include arthroscopic debridement, arthroscopic wafer, open wafer, or ulnar-shortening osteotomy. Treatment should be tailored to the athletes' level of function, expectations, and goals. The timing of interventions also influences the treatment algorithm. A successful outcome can be anticipated when appropriate treatment is rendered.
引用
收藏
页码:329 / +
页数:10
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