A systematic method of arthroscopic testing of extrinsic carpal ligaments: implication in carpal stability.
Tech Hand Up Extrem Surg
; 17(4): 202-6, 2013 Dec.
Article
em En
| MEDLINE
| ID: mdl-24240624
ABSTRACT
Several biomechanical studies have shown that the scapholunate and lunotriquetral ligaments are not the only stabilizers of the proximal carpal row. However, no study has yet analyzed the spectrum of ligamentous lesions in vivo, leading to instability. We describe an arthroscopic technique for evaluating the extrinsic carpal ligaments. The testing relies on visualization and palpation of different ligaments. Their integrity is assessed with a 4-stage scale. Radiocarpal arthroscopy enables assessment of the following ligaments the radiocarpal part of the radio-scapho-capitate, the long radiolunate, the short radiolunate, the ulnolunate, the ulnotriquetral, and the dorsal radiocarpal. Midcarpal arthroscopy enables assessment of the mid part of the radio-scapho-capitate, the triquetrocapitate, the scaphotrapezial, and the dorsal intercarpal. Above assessment is proposed in addition to assessing the articular cartilage, scapholunate, and lunotriquetral ligaments. This method allows a precise arthroscopic assessment of the extrinsic ligaments of the wrist. It could give an important help in the understanding of carpal instability.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artroscopia
/
Articulações do Carpo
/
Instabilidade Articular
/
Ligamentos Articulares
Limite:
Humans
Idioma:
En
Revista:
Tech Hand Up Extrem Surg
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
França