Abstract
Wrist trauma during sporting activities, whether direct or due to a force transmitted to the wrist, may result in several types of ligament injuries. The most frequently affected ligaments are the scapholunate (SL) or, more rarely, the lunotriquetral (LT) ligaments, which provide stability to the proximal carpal row, and the triangular fibrocartilage complex (TFCC), which stabilises the distal radioulnar joint (DRUJ). SL and LT tears may lead to carpal instability, whereas a TFCC tear may cause instability of the distal radioulnar joint.
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References
Luchetti R, Pegoli L, Papini Zorli I, Garcia Elias M (2007) Le instabilità del carpo. In: Trattato di chirurgia della mano. Verduci Editore, Rome, pp 117–157
Bell MJ (1983) Perilunar dislocation of the carpus and associated Colles fracture. Hand 15:262–266
Lindau T, Arner M, Hagberg L (1997) Intraarticular lesions in distal fractures of the radius in young adults. A descriptive arthroscopic study in 50 patients. J Hand Surg Br 22(5):638–643
Mayfield JK (1980) Mechanism of carpal injuries. Clin Orthop 149:45–54
Mayfield JK, Johnson RP, Kilcoyne RF (1976) The ligaments of human wrist and their significance. Anat Rec 186:417–426
Wagner CJ (1956) Perilunar dislocations. J Bone Joint Surg 38A:1198–1230
Reagan DS, Linscheid RL, Dobyns JH (1984) Lunotriquetral sprains. J Hand Surg Am 9A:502–514
Garcia-Elias M, Geissler WB (2004) Carpal instability. In: Green DP, Hotchkiss RN, Pederson WC, Wolfe SW (eds) Green’s operative hand surgery, 5th edn. Elsevier, Philadelphia, pp 535–604
Schädel-Höpfner M, Iwinska-Zelder J, Braus T, Bohringer G, Klose KJ, Gotzen L (2001) MRI versus arthroscopy in the diagnosis of scapholunate ligament injury. J Hand Surg Br 26 B:17–21
Geissler WB, Freeland AE, Savoie FH, McIntyre LW, Whipple TL (1996) Intracarpal soft-tissue lesions associated with intra-articular fracture of the distal end of the radius. J Bone Joint Surg 78A:357–365
Linscheid RL (1984) Scapholunate ligamentous instabilities (dissociations, subdislocations, dislocations). Ann Chir Main 3:323–330
Weiss APC, Sachar K, Glowacki KA (1997) Arthroscopic debridement alone for intercarpal ligament tears. J Hand Surg Am 22A:344–349
Blatt G (1994) Dorsal capsulodesis for rotatory subluxation of the scaphoid. In: Gelberman RH (ed) Master techniques in orthopedic surgery: the wrist. Raven Press, New York, pp 147–166
Weiss APC (1998) Scapholunate ligament reconstruction using a bone-retinaculum-bone autograft. J Hand Surg Am 23A:205–215
Wahegaonkar AL, Mathoulin CL (2013) Arthroscopic dorsal capsulo-ligamentous repair in the treatment of chronic scapho-lunate ligament tears. J Wrist Surg 2(2):141–148
Del Piñal F (2013) Arthroscopic volar capsuloligamentous repair. J Wrist Surg 2(2):126–128
Brunelli GA, Brunelli GR (1995) A new surgical technique for carpal instability with scapho-lunar dislocation: Eleven cases. Ann Chir Main Memb Super 14:207–213
Van Den Abbeele KLS, Loh YC, Stanley JK, Trail IA (1998) Early results of a modified Brunelli procedure for scapholunate instability. J Hand Surg Br 23B:258–261
Rosenwasser MP, Strauch RJ, Miyasaka KC (1997) The RASL procedure: reduction and association of the scaphoid and lunate using the Herbert screw. Tech Hand Up Extrem Surg 1:263–272
Cognet JM, Levadoux M, Martinache X (2011) The use of screws in the treatment of scapholunate instability. J Hand Surg Eur Vol 36(8):690–693
Kihara H, Short WH, Werner FW, Fortino MD, Palmer AK (1995) The stabilizing mechanism of the distal radioulnar joint during pronation and supination. J Hand Surg Am 20A:930–936
Cozzolino R, Luchetti R, Atzei A (2013) Instabilità della radio ulnare distale: concetti generali. Riv Cir Mano Vol 50(2):214–218
Nakamura T, Yabe Y, Horiuchi Y (1996) Functional anatomy of the triangular fibrocartilage complex. J Hand Surg Br 21(5):581–586
Dwek JR, Cardoso F, Chung CB (2009) MR imaging of overuse injuries in the skeletally immature gymnast: spectrum of soft-tissue and osseous lesions in the hand and wrist. Pediatr Radiol 39(12):1310–1316
Baratz ME (2012) Central TFCC tears in baseball players. Hand Clin 28(3):339
Palmer AK (1989) Triangular fibrocartilage complex lesions: a classification. J Hand Surg Am 14(4):594–606
Atzei A (2009) New trends in arthroscopic management of type 1-B TFCC injuries with DRUJ instability. J Hand Surg Eur Vol 34(5):582–591
Atzei A, Luchetti R (2011) Foveal TFCC tear classification and treatment. Hand Clin 27(3):263–272
Tay SC, Tomita K, Berger RA (2007) The “ulnar fovea sign” for defining ulnar wrist pain: an analysis of sensitivity and specificity. J Hand Surg Am 32(4):438–444
Pederzini L, Luchetti R, Soragni O, Alfarano M, Montagna G, Cerofolini E, Roth JH (1992) Evaluation of the triangular fibrocartilage complex tears by arthroscopy, arthrography and MRI. Arthroscopy 8:191–197
Oneson SR, Timins ME, Scales LM, Erickson SJ, Chamoy L (1997) MR imaging diagnosis of triangular fibrocartilage pathology with arthroscopic correlation. AJR Am J Roentgenol 168(6):1513–1518
Potter HG, Asnis-Ernberg L, Weiland AJ, Hotchkiss RN, Peterson MG, McCormack RR Jr (1997) The utility of high-resolution magnetic resonance imaging in the evaluation of the triangular fibrocartilage complex of the wrist. J Bone Joint Surg Am 79(11):1675–1684
Meier R, Schmitt R, Krimmer H (2005) Wrist lesions in MRI arthrography compared with wrist arthroscopy. Handchir Mikrochir Plast Chir 37(2):85–89
De Filippo M, Pogliacomi F, Bertellini A, Araoz PA, Averna R, Sverzellati N, Ingegnoli A, Corradi M, Costantino C, Zompatori M (2010) MDCT arthrography of the wrist: diagnostic accuracy and indications. Eur J Radiol 74(1):221–225
Stanley J, Saffar P (1994) Wrist arthroscopy. Martin Dunitz, London
Pederzini LA, Tosi M, Prandini M, Botticella C (2007) All-inside suture technique for Palmer class 1B triangular fibrocartilage repair. Arthroscopy 23(10):1130.e1–1130.e4
Del Piñal F, García-Bernal FJ, Cagigal L, Studer A, Regalado J, Thams C (2010) A technique for arthroscopic all-inside suturing in the wrist. J Hand Surg Eur Vol 35(6):475–479
Pezzella G, Zucco P, Drocco L, Sartori A (2001) Ulnar styloid nonunion with DRUJ instability: arthroscopic suture of triangular fibrocartilage (TFC) with Mitek anchor. Artroscopia II(2):108–113
Lephart SM, Pincivero DM, Giraldo JL, Fu FH (1997) The role of proprioception in the management and rehabilitation of athletic injuries. Am J Sports Med 25(1):130–137
Fairplay T (2013) Instabilità radio-ulnare distale. Riabilitazione neuromuscolare e propriocettiva del polso e della mano. Riv Chir Mano Vol 50(2):227–233
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Pezzella, G., Burini, A., Nava, M. (2016). Wrist Ligament Injuries. In: Volpi, P. (eds) Arthroscopy and Sport Injuries. Springer, Cham. https://doi.org/10.1007/978-3-319-14815-1_30
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DOI: https://doi.org/10.1007/978-3-319-14815-1_30
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