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Wrist structures prone to injury are the triangular fibrocartilage complex and the scapholunate ligament. [1] Wrist sprains may occur when a ligament is ruptured or lacerated in severe trauma, stretched or twisted. [1] Commonly, wrist pain is caused by sudden load-bearing or twisting effects, such as falling from a height with an outstretched ...
Wrist osteoarthritis is gradual loss of articular cartilage and hypertrophic bone changes (osteophytes). While in many joints this is part of normal aging (senescence), in the wrist osteoarthritis usually occurs over years to decades after scapholunate interosseous ligament rupture or an unhealed fracture of the scaphoid.
SLAC wrist is the most common type of post-traumatic wrist osteoarthritis [1] and is often the result of an undiagnosed or untreated scapholunate ligament rupture. [2] The condition follows a predictable pattern of development, which was first described by H. Kirk Watson, M.D. and Frederick L. Ballet, M.D. in 1984.
The radial collateral ligament (external lateral ligament, radial carpal collateral ligament) extends from the tip of the styloid process of the radius and attaches to the radial side of the scaphoid (formerly navicular bone of the hand), immediately adjacent to its proximal articular surface and some fibres extend to the lateral side of the trapezium (greater multangular bone).
The scapholunate ligament is an intraarticular ligament binding the scaphoid and lunate bones of the wrist together. It is divided into three areas, dorsal, proximal and palmar, with the dorsal segment being the strongest part. [3] It is the main stabilizer of the scaphoid. In contrast to the scapholunate ligament, the lunotriquetral ligament ...
Suturing TFCC ligaments can sometimes be performed arthroscopically. But only if there is no serious damage to the ligaments or other surrounding structures. Even after a short period of time torn ligaments tend to retract and therefore lose length. Retracted ligament ends are impossible to suture together again and a reconstruction may be ...
In one randomized trial comparing trapeziectomy alone with trapeziectomy with ligament reconstruction and trapeziectomy with ligament reconstruction and tendon interposition, patients evaluated 5 to 18 years after surgery had similar pain intensity, grip strength and key and tip pinch strengths after each procedure. [29]
A soft tissue injury is the damage of muscles, ligaments and tendons throughout the body. Common soft tissue injuries usually occur from a sprain, strain, a one-off blow resulting in a contusion or overuse of a particular part of the body. Soft tissue injuries can result in pain, swelling, bruising and loss of function. [1]
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