Zur Traumatologie des Discus Articularis des Handgelenks

Abstract

At 89 Patients with painfull wrist and clinical symptoms like a lesion of the triangular disc, arthrography of the radiocarpal joint was performed. In 18 cases with corresponding arthrographical findings removal of the disc results in clear recovery respectively painlessness. That simple operation seems to be an alternative to the resection of the ulna and a replaceable method if symptomatology and arthrography are accordingly. The described proceeding becomes important because no recovery was seen by conservative treatment.

Wrist Arthrography

“…About 4 sequential film exposures or preferably a video recording is made during the injection to detect any leakage of contrast medium to other wrist compartments which could possibly be obscured by the completely filled joint space. After passive wrist movements further documentation is obtained in frontal, oblique, and lateral views preferably under fluoroscopic guidance (4,6,13,16,20,21,26,38).…”

“…Some authors claim to be able to differentiate between traumatic and congenital perforations solely on the basis of the radiographic appearance while others propose complementary contralateral arthrography (9,II,21,31,37).…”

“…The TFC serves as a cushion in compressing axial forces in the wrist and also as a stabilizer of the distal radio-ulnar joint (5,15,16,21,27,31). Despite new imaging techniques such as CT, MR imaging, and modifications of wrist arthrography, standard radiocarpal arthrography remains valuable in the diagnosis of chronic wrist pain (6,14,15,20,23,35,38).…”