[Diagnosis of lunotriquetral instability]. / Diagnostik der lunotriquetralen Instabilität.
Handchir Mikrochir Plast Chir
; 37(2): 131-6, 2005 Apr.
Article
em De
| MEDLINE
| ID: mdl-15877275
ABSTRACT
BACKGROUND:
Lunotriquetral dissociation with rupture of the lunotriquetral ligament and the radiolunotriquetral and the radiodorsal ligament is usually recognized late. Cinematography, arthrography, magnetic resonance imaging and arthroscopy are the diagnostic procedures. Treatment includes nonoperative methods in the case of incomplete lesions but also closed reposition with temporary LT arthrodesis and open ligament repair. In many cases, definitive LT arthrodesis may become necessary. It is the aim to develop a diagnostic algorithm on the base of retrospective analysed data. MATERIAL ANDMETHODS:
From January 1998 to July 2003, 97 cinematographies of the wrist were performed, 22 with the question for a dynamic or static VISI deformity as a sign for lunotriquetral instability. This group of patients was analysed retrospectively to evaluate the diagnostic reliability. Based on these datas, a diagnostical algorithm was established for prospective investigations.RESULTS:
The combination of cinematography, arthrography and magnetic resonance imaging suspected lunotriquetral instability in ten cases so that an arthroscopy was arranged. This way LT-lesions were verified in nine cases. The mean interval between accident and first contact with our institution was five months.CONCLUSIONS:
The management of lunotriquetral injuries is complicated by the long time from trauma to definitive diagnosis. A combination of refined clinical and apparative investigations can lead to a reliable diagnosis.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Osso Semilunar
/
Traumatismos do Punho
/
Ossos do Carpo
/
Instabilidade Articular
/
Ligamentos Articulares
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Idioma:
De
Revista:
Handchir Mikrochir Plast Chir
Ano de publicação:
2005
Tipo de documento:
Article