MRI对腕三角纤维复合体损伤的诊断研究进展
Research Progress of MRI in Diagnosis of TFCC Injury
DOI: 10.12677/ACM.2023.13102358, PDF,   
作者: 木尼热·沙地克, 吾兰·吉恩拜, 陈佳琦:新疆医科大学研究生学院,新疆 乌鲁木齐;新疆医科大学第六附属医院,新疆 乌鲁木齐;张 锐*:新疆医科大学第六附属医院,新疆 乌鲁木齐
关键词: 腕三角纤维复合体损伤磁共振成像诊断价值Wrist Triangular Fiber Complex Injury Magnetic Resonance Imaging Diagnostic Value
摘要: 三角纤维软骨复合体(Triangular FibroCartilage Complex,简称TFCC)是腕关节尺侧最重要的纤维软骨–韧带复合结构,位于腕关节尺侧,分隔尺腕和远侧尺桡关节,具有稳定下尺桡关节、尺腕关节,缓冲压力的作用,当TFCC发生炎症、创伤及退行性变的情况下,会导致腕尺侧疼痛、下尺桡关节不稳、腕部功能障碍。随着影像学技术的发展,磁共振成像(MRI)已成为目前无创性诊断TFCC损伤的最佳方法。MRI是一种无创性的影像学检查方法,软组织分辨率高,能对TFCC的精细解剖结构进行较好的评价,能较好地显示损伤的部位及范围,有利于临床治疗方案的制定,现就TFCC的MRI最新研究现状予以综述。
Abstract: Triangular FibroCartilage Complex (TFCC) is the most important fibrocartilage-ligament composite structure on the ulnar side of the wrist joint. It is located on the ulnar side of the wrist joint, sepa-rates the ulnocarpal and distal radioulnar joints, and has the function of stabilizing the lower ra-dioulnar joint. Joints and ulnocarpal joints play a role in buffering pressure. When inflammation, trauma and degeneration occur in the TFCC, it will lead to pain on the ulnar side of the wrist, insta-bility of the distal radioulnar joint, and poor wrist function. With the advancement of imaging tech-nology, magnetic resonance imaging (MRI) has become the current non-invasive method for diag-nosing TFCC injuries. MRI is a non-invasive imaging examination with high soft tissue resolution. It can evaluate the fine anatomical structure of TFCC and accurately display the location and scope of damage, which is beneficial to the formulation of clinical treatment plans. Here is the latest MRI of TFCC. The current research status is reviewed.
文章引用:木尼热·沙地克, 吾兰·吉恩拜, 陈佳琦, 张锐. MRI对腕三角纤维复合体损伤的诊断研究进展[J]. 临床医学进展, 2023, 13(10): 16840-16843. https://doi.org/10.12677/ACM.2023.13102358

参考文献

[1] 祁艳梅, 王媛, 陈晓飞, 董馥闻, 王闻奇. 尺骨撞击综合征的影像学研究进展[J]. 实用放射学杂志, 2020, 36(8): 1337-1340. [Google Scholar] [CrossRef
[2] 高斌, 张聪聪, 邹宾, 等. 腕关节镜治疗三角纤维软骨复合体损伤研究进展[J]. 国际骨科学杂志, 2020, 41(6): 330-333.
[3] 陈贤艺, 陈国能, 陈扬. 腕关节镜下治疗IB型TFCC损伤的研究进展[J]. 饮食保健, 2020, 7(11): 298-299.
[4] 娄湘红, 陈振兵, 林玲. 集束化护理在三角纤维软骨复合体损伤腕关节镜治疗围术期中的应用[J]. 中华显微外科杂志, 2020(1): 89-91.
[5] 李军, 甘伟, 刘维久, 等. 青年三角纤维软骨复合体损伤MR Maping成像研究[J]. 影像研究与医学应用, 2022, 6(15): 47-49.
[6] 刘佳佳, 谢仁国, 邢树国, 等. 三角纤维软骨复合体损伤腕关节镜下修复的三维运动学研究[J]. 中华手外科杂志, 2018, 34(1): 44-48.
[7] 张杰, 余振华, 戴勇, 等. 腕关节三角纤维软骨复合体损伤中高频超声的应用[J]. 包头医学院学报, 2018, 34(8): 69-70. [Google Scholar] [CrossRef
[8] 王东林, 刘秉彦, 符少清, 等. 高频超声在腕关节三角纤维软骨复合体损伤中的应用[J]. 中国介入影像与治疗学, 2017, 14(9): 552-555. [Google Scholar] [CrossRef
[9] Kim, B., Yoon, H.K., Nho, J.H., Park, K.H., Park, S.Y., Yoon, J.H. and Song, H.S. (2013) Arthroscopically Assisted Reconstruction of Triangular Fibrocarti-lage Complex Foveal Avulsion in the Ulnar Variance-Positive Patient. Arthroscopy, 29, 1762-1768. [Google Scholar] [CrossRef] [PubMed]
[10] 纪涛涛, 周霖, 闵晓燕, 徐官珍, 曹阳. 三角纤维软骨复合体损伤的MRI和腕关节镜对比研究[J]. 医学影像学杂志, 2019, 29(5): 840-843.
[11] Palmer, A.K. (1990) Triangular Fibrocartilage Disorders: Injury Patterns and Treatment. Arthroscopy, 6, 125-132. [Google Scholar] [CrossRef] [PubMed]
[12] Abe, Y., Tominaga, Y. and Yoshida, K. (2012) Various Pat-terns of Traumatic Triangular Fibrocartilage Complex Tear. Hand Surgery, 17, 191-198. [Google Scholar] [CrossRef
[13] Watanabe, A., Souza, F., Vezeridis, P.S., Blazar, P. and Yoshi-oka, H. (2010) Ulnar-Sided Wristpain. II. Clinical Imaging and Treatment. Skeletal Radiology, 39, 837-857. [Google Scholar] [CrossRef] [PubMed]
[14] Yu, J.S. and Habib, P.A. (2006) Normal MR Imaging Anatomy of the Wrist and Hand. Radiologic Clinics of North America, 44, 569-581. [Google Scholar] [CrossRef] [PubMed]
[15] Potter, H.G., Asnis-Ernberg, L., Weiland, A.J., Hotchkiss, R.N., Pe-terson, M.G. and McCormack Jr., R.R. (1997) The Utility of High-Resolution Magnetic Resonance Imaging in the Eval-uation of the Triangular Fibrocartilage Complex of the Wrist. The Journal of Bone and Joint Surgery, 79, 1675-1684. [Google Scholar] [CrossRef] [PubMed]
[16] Baraliakos, X., Braun, J., Conaghan, P.G., Østergaard, M. and Pincus, T. (2018) Update on Imaging in Rheumatic Diseases. Clinical and Experimental Rheumatology, 36, 2.
[17] 陈爽, 徐文东, 冯晓源. MR直接关节造影在腕三角纤维软骨复合体损伤中的应用[J]. 中华放射学杂志, 2008(3): 242-246.
[18] Magee, T. (2009) Comparison of 3-T MRI and Arthroscopy of Intrinsic Wrist Ligament and TFCC Tears. American Journal of Roentgenology, 192, 80-85. [Google Scholar] [CrossRef