TFCC损伤导致腕尺侧痛的解剖学研究

发布时间：2018-01-16 20:43

本文关键词：TFCC损伤导致腕尺侧痛的解剖学研究　出处：《吉林大学》2010年硕士论文　论文类型：学位论文

【摘要】： 腕尺侧痛严重影响患者的工作和日常生活,其治疗也是困扰手外科医师的难题。腕尺侧痛的产生与腕三角纤维软骨复合体(TFCC)损伤有关,但目前国内外对TFCC的研究并不多,且大多局限于生物力学和损伤后的诊断方面,对其解剖的研究较少,在很多方面尚未达成一致,存在较大的争议。因此,TFCC损伤导致腕尺侧痛的解剖学基础不明确这种情况在很大程度上限制了TFCC损伤的诊断和腕尺侧痛的治疗。TFCC由腕三角纤维软骨(TFC)及其周围韧带组成,由于腕关节腕骨及韧带结构复杂,韧带短小、菲薄,纤维相互交叉,导致腕关节韧带结构在观察、测量上十分的困难。这是目前国内外对TFCC的解剖的认识不全面、存在一定程度偏差的原因。在我们的临床工作过程中发现,尺月、尺三角韧带的解剖构成及走行与目前国内外所报道的情况有所不同。为此我们系统解剖了10例健康男性成人上肢腕关节标本,证实了我们的观点,明确了TFCC全部韧带的走行及起止情况,并进一步解剖观察了TFCC的神经支配,在解剖学上确定了TFCC损伤导致腕尺侧痛的原因,为今后TFCC损伤的诊断及进一步开展TFCC支配神经切除治疗腕关节尺侧痛奠定了基础。
[Abstract]:Ulnar carpal pain seriously affects patients' work and daily life, and its treatment is also a difficult problem for hand surgeons. The occurrence of ulnar carpal pain is related to the injury of TFCCs. But at present, there are few researches on TFCC at home and abroad, and most of them are confined to biomechanics and diagnosis after injury. There is little research on the anatomy of TFCC, and no agreement has been reached in many aspects. There's a lot of controversy. So... The anatomical basis of ulnar carpal pain caused by TFCC injury is unclear, which largely limits the diagnosis of TFCC injury and the treatment of ulnar carpal pain. And its surrounding ligaments. Because of the complex structure of carpal bones and ligaments, the short and thin ligaments, and the intersecting of fibers, the structure of the carpal ligaments is observed. It is very difficult to measure. This is the reason why the dissection of TFCC is not fully understood at home and abroad, and there is a certain degree of deviation. The anatomical composition and running of the ligamentum deltaeus ulnar are different from those reported at home and abroad. Therefore, we have systematically dissected the wrist joints of 10 healthy male adults and confirmed our point of view. The running and beginning and ending of all the ligaments in TFCC were clarified, and the nerve innervation of TFCC was observed further. The cause of ulnar carpal pain caused by TFCC injury was determined anatomically. It lays a foundation for the diagnosis of TFCC injury and the treatment of wrist ulnar pain by TFCC innervation.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R322

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