Treatment of scapholunate ligament injury

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Treatment of scapholunate ligament injury

The scapholunate (SL) ligament (SLL) is the most commonly injured carpal ligament.1 The SLL is C-shaped and has three structurally distinct parts: volar; membranous; and dorsal (Fig. 1).2 The dorsal part of the SLL is the strongest and the primary stabiliser of the SL joint and can resist forces of up to 260 N.3 The avascular proximal membranous portion does not provide any significant laxity r...

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Scapholunate ligament reconstruction.

Background Scapholunate reconstruction poses a challenge to orthopedic surgeons. Materials and Methods Prospective cohort. Description of Technique Our technique for scapholunate (SL) reconstruction involves ligament reconstruction utilizing a portion of the flexor carpi radialis tendon rerouted via transosseous tunnels across the scaphoid, lunate, and triquetrum (scapholunotriquetral tenodesis...

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Current status of scapholunate interosseous ligament injuries.

Injuries to the scapholunate complex present the surgeon with both diagnostic and treatment dilemmas. The anatomic features, biomechanical properties, radiographic appearance, and surgical treatment algorithms of this small but structurally and kinematically important joint continue to be refined. A thorough history and physical examination, combined with a radiographic evaluation that can incl...

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Concurrent scaphoid fracture with scapholunate ligament rupture.

Various patterns of traumatic carpal injury have been described in the literature. Although the combination of scaphoid fracture and scapholunate ligament rupture in the same injury has been reported and these lesions can no longer be considered mutually exclusive, little information is available on management methods and the long-term results of such seemingly paradoxical complex injuries. Thi...

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The natural history of an untreated isolated scapholunate interosseus ligament injury.

The natural history of an untreated isolated scapholunate interosseus ligament injury remains unclear, although it is commonly assumed that patients continue to suffer with pain, stiffness and weakness of the wrist and ultimately develop secondary osteoarthritis (SLAC wrist). In this study, we evaluated the clinical condition of 11 patients with an arthroscopically proven interosseus scapholuna...

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ژورنال

عنوان ژورنال: EFORT Open Reviews

سال: 2017

ISSN: 2396-7544,2058-5241

DOI: 10.1302/2058-5241.2.170016