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삼각 섬유 연골 복합체 손상의 치료에 대한 원위 요척 관절조영술의 유용성

Other Titles
 Diagnostic Value of Distal Radio-ulnar Joint Arthrography in TFCC Tear 
 박진수  ;  김홍균  ;  유희성  ;  유정한  ;  노규철  ;  정국진  ;  황지효  ;  양양익  ;  한수봉 
 Journal of the Korean Society for Surgery of the Hand (대한수부외과학회지), Vol.13(4) : 294-298, 2008 
Journal Title
 Journal of the Korean Society for Surgery of the Hand (대한수부외과학회지) 
Issue Date
Triangluar fibrocartilage complex ; Distal radioulanar arthrography
Purpose: When it seems that TFCC is injured, it is known that MR arthrography is the most excellent method to confirm among examinations. However, MR arthrography has demerit by its cost for the case that is not covered by medical insurance. In this study, it is discussed about the diagnostic value of Arthrography. Materials and Methods: Between March 2003 and July 2008, fifty-nine patients are selected who have possibility of TFCC injury by clinical examination. Arthrography was examined by injection of contrast media into distal radio-ulnar joint, Pain of arthrographic procedure is compared with intravenous injection by visual analogue scale (VAS). Results: In case of the arthrography, Conservative treatment for 43 normal cases by arthrographic finding. Among them, 35 cases (81%) showed favorable improvement of the symptom and finished follow-up only by 8.7weeks. In 16 cases who showed TFCC injury in arthrography, 7 cases were done arthroscopic surgery without further-evaluation. Other 9 cases were examined with MR arthrography, these cases showed same result as in the result by arthrography Conclusion: In case of possibility of TFCC injury by clinical examination, arthrography is regarded as available diagnosis method with its economical merit and there is no problem with the pain of patients during the arthrographic procedure.
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1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Hahn, Soo Bong(한수봉)
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