JAAOS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

J Am Acad Orthop Surg, Vol 8, No 3, May/June 2000, 170-179.
© 2000 the American Academy of Orthopaedic Surgeons
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Shin, A. Y.
Right arrow Articles by Bishop, A. T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Shin, A. Y.
Right arrow Articles by Bishop, A. T.

Lunotriquetral Instability: Diagnosis and Treatment

Alexander Y. Shin, MD, CDR, USNR, Michael J. Battaglia, MD, LCDR, USN and Allen T. Bishop, MD

Dr. Shin is Director, Division of Hand and Microvascular Surgery, Department of Orthopaedic Surgery, Naval Medical Center, San Diego, Calif. Dr. Battaglia is Staff Surgeon, Department of Orthopaedic Surgery, Naval Hospital, Naples, Italy. Dr. Bishop is Professor and Chairman, Division of Hand and Microvascular Surgery, Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minn.

Reprint requests: Dr. Bishop, Mayo Clinic E14A, 200 First Street Southwest, Rochester, MN 55905.

Isolated injury of the lunotriquetral interosseous ligament complex and associated structures is less common and is poorly understood compared with the other proximal-row ligament injury, scapholunate dissociation. The spectrum of injuries ranges from isolated partial tears to frank dislocation, and from dynamic to static carpal instability. The diagnosis may be difficult to establish because of the many possible causes of ulnar-sided wrist pain and the often normal radiographic appearance. The mechanism of injury is variable and includes attrition by age, positive ulnar variance, and perilunate or reverse perilunate injury. Appropriate treatment requires assessment of the degree of instability and the chronicity of the injury. Options include corticosteroid injection, immobilization, ligament repair, ligament reconstruction with tendon grafts, limited intercarpal arthrodesis, and ulnar shortening.




This article has been cited by other articles:


Home page
 JBJSHome page
A. Y. Shin, M. A. Deitch, K. Sachar, and M. I. Boyer
Ulnar-Sided Wrist Pain. Diagnosis and Treatment
J. Bone Joint Surg. Am., July 1, 2004; 86(7): 1560 - 1574.
[Full Text] [PDF]

Home page
 TraumaHome page
M. Herron and M. Craigen
Arthroscopy of the wrist for trauma
Trauma, January 1, 2001; 3(1): 9 - 16.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2000 by the American Academy of Orthopaedic Surgeons.