keyword
https://read.qxmd.com/read/38435942/ulnar-sided-wrist-pain-a-diagnostic-evaluation-guide-from-30-plus-years-of-experience
#1
JOURNAL ARTICLE
Ather Mirza, Justin B Mirza, Luke C Zappia, Terence L Thomas
INTRODUCTION: While multiple ulnar-sided wrist pain (USWP) diagnostic evaluation guides have been presented, none have included original clinical data or statistical analysis. The purpose of this study is to provide a diagnostic evaluation guide derived from original clinical data and analysis to help clinicians arrive at a differential diagnosis for USWP. METHODS: Using a computer search of patients presenting with sprains, instability, and laxity of the wrist, 385 patient charts were identified...
January 2024: Curēus
https://read.qxmd.com/read/38423102/arthroscopic-suture-in-the-management-of-palmar-midcarpal-instability
#2
JOURNAL ARTICLE
Jean-Baptiste de Villeneuve Bargemon, Romain Mari, Christophe Mathoulin, Clément Prenaud, Lorenzo Merlini
AIMS: Patients with midcarpal instability are difficult to manage. It is a rare condition, and few studies have reported the outcomes of surgical treatment. No prospective or retrospective study has reported the results of arthroscopic palmar capsuloligamentous suturing. Our aim was to report the results of a prospective study of arthroscopic suture of this ligament complex in patients with midcarpal instability. METHODS: This prospective single-centre study was undertaken between March 2012 and May 2022...
March 1, 2024: Bone & Joint Journal
https://read.qxmd.com/read/38395197/an-anatomic-study-of-the-morphologic-characteristics-of-the-dorsal-capitolunate-ligament
#3
JOURNAL ARTICLE
Ruby Gilmor, Jeremy A Dubin, Sandeep S Bains, Rubén Monárrez, Ethan Remily, Daniel Hameed, John V Ingari
PURPOSE: There is consensus in favor of a description of the dorsal ligaments of the carpus as not including a direct ligament between the lunate and capitate. On the other hand, there is an anatomical formation which, according to the currently accepted description, corresponds to the dorsal midcarpal capsule, itself thickened by the dorsal intercarpal ligament. The question is whether the capsule at this point deserves to be called an individualizable ligament. In our operative experience of the dorsal carpus, we have encountered a stout structure adherent to the lunate and capitate...
February 21, 2024: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/38342640/impact-of-chronic-wrist-hypermobility-on-proprioception-strength-and-functional-performance-in-young-adults
#4
JOURNAL ARTICLE
Christos Karagiannopoulos, Sean F Griech
BACKGROUND: Chronic joint hypermobility has been attributed to repetitive ligamentous microtrauma, benign joint hypermobility syndrome (BJHS), or genetic connective tissue disorders that lead to pain and functional impairment, especially among females. Chronic wrist hypermobility (CWH) prevalence, etiology, and effects on proprioception, strength, and function have yet to be established. PURPOSE: This pilot study aimed to determine the CWH prevalence among adults; its effects on proprioception, strength, and function; and whether these effects are gender based...
February 10, 2024: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://read.qxmd.com/read/38264135/radial-midcarpal-instability-treated-with-radioscaphocapitate-ligament-recession-a-case-report
#5
Janice Chin-Yi Liao, David Meng Kiat Tan
Background  Midcarpal instability is an uncommon entity characterized by pain and clunking as the wrist moves from radial deviation to ulnar deviation. Management is primarily nonoperative. In patients with persistent symptoms, operative treatments are divided into soft tissue reconstruction and limited midcarpal arthrodesis. Case Description  We present a rare case of radial midcarpal instability associated with radioscaphocapitate (RSC) ligament injury. A 20-year-old man presented with radial-sided wrist pain and clunking with radial deviation after a fall...
February 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38143144/palmar-midcarpal-instability-a-narrative-review-of-the-literature-have-we-reached-a-consensus-on-a-treatment
#6
JOURNAL ARTICLE
Maria Antonia Gomez-Sierra, Alejandro Sandoval
Palmar midcarpal instability (PMCI) is a wrist condition that requires treatment through non-surgical rehabilitation programs or surgical stabilization. This condition's natural history is poorly understood, and the optimal treatment approach remains unknown. Non-surgical treatments are initially implemented, followed by surgical stabilization if necessary. Arthrodesis and soft tissue stabilization are the two main surgical options for PMCI, with no established gold standard for treatment. A systematic review of 12 articles comparing arthrodesis and soft tissue stabilization was conducted to identify the optimal treatment approach for PMCI...
November 2023: Injury
https://read.qxmd.com/read/37852909/scapholunate-and-lunotriquetral-joint-dynamic-stabilizers-and-their-role-in-wrist-neuromuscular-control-and-proprioception
#7
JOURNAL ARTICLE
Guillem Salva-Coll, Alex Lluch, Mireia Esplugas, Ana Carreño, Ana Scott-Tennent, Maria Larrea-Zabalo, Marc Garcia-Elias
BACKGROUND: Recent research interest has grown in exploring the role of muscles, isometric contraction, proprioception, and neuromuscular control in addressing dynamic scapholunate and lunotriquetral joint instability, marking a shift in the understanding of wrist stability. PURPOSE: To present a comprehensive review of the carpal ligaments anatomy and wrist biomechanics, with a particular focus on the role of proprioception in dynamic carpal stability and their role in managing scapholunate (SL) and lunotriquetral (LTq) dynamic instabilities...
October 17, 2023: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://read.qxmd.com/read/37841349/the-lateral-w-construct-an-anatomical-variant-of-the-dorsal-wrist-ligaments
#8
JOURNAL ARTICLE
Theodorakys Marín Fermín, Frantzeska Zampeli, Elisabet Hagert
Background  The dorsal intercarpal ligament (DIC) is an elegant dorsal stabilizer of the proximal carpal row, including the scaphoid's proximal pole and scapholunate joint. Along with the dorsal radiocarpal (DRC) ligament, it acts as a dorsal radioscaphoid stabilizer, with dynamism due to its ability to modify its length up to threefold by changing the angles between its V-shaped bundle morphology. The DIC ligament consistently originates from the dorsal tubercle of the triquetrum on the ulnar side. It spans transversely, attaching to the dorsal groove of the scaphoid (97-100%), lunate (75-90%), and proximal rim of the trapezium (12...
October 2023: Journal of Wrist Surgery
https://read.qxmd.com/read/37223383/arthroscopic-capsular-shrinkage-is-safe-and-effective-in-the-treatment-of-midcarpal-instability-in-a-pediatric-population-a-single-center-experience-of-51-cases
#9
JOURNAL ARTICLE
Rupert M H Wharton, Tommy R Lindau, Kerstin Oestreich
Objective  Treatment of palmar midcarpal instability (PMCI) remains controversial and children can develop PMCI from asymptomatic hypermobility. Recently, case series have been published regarding the use of arthroscopic thermal shrinkage of the capsule in adults. Reports of the use of the technique in children and adolescents are rare, and there are no published case series. Methods  In a tertiary hand center for children's hand and wrist conditions, 51 patients were treated with arthroscopy for PMCI between 2014 and 2021...
June 2023: Journal of Wrist Surgery
https://read.qxmd.com/read/37154580/outcomes-of-an-exercise-program-in-patients-with-dorsal-or-volar-midcarpal-laxity-a-cohort-study-of-213-patients
#10
JOURNAL ARTICLE
Mart Brands, Ruud W Selles, Yara E van Kooij, Reinier Feitz, Annemieke J Videler, Harm P Slijper, Robbert M Wouters
PURPOSE: Describing the outcomes of an exercise program on wrist and hand function for patients with midcarpal instability (MCI). MATERIALS AND METHODS: This study has a prospective cohort design. Two hundred and thirteen patients with MCI were included. The intervention was a 3-month exercise program consisting of hand therapy and home exercises. The primary outcome was perceived wrist and hand function evaluated with the Patient-Rated Wrist/Hand Evaluation (PRWHE) three months after treatment onset...
May 8, 2023: Disability and Rehabilitation
https://read.qxmd.com/read/37105177/midcarpal-instability
#11
JOURNAL ARTICLE
Remy V Rabinovich, Omar F Rahman, Matthew H Nasra, Daniel B Polatsch, Steven Beldner
Midcarpal instability (MCI) of the wrist represents multiple distinct clinical entities that all have in common abnormal force transmission across the midcarpal joint. This can be asymptomatic but can also result in painful wrist motion, a characteristic catch-up clunk, and symptoms of instability. The carpus is stabilized by numerous extrinsic and intrinsic ligaments. Dynamic joint reactive forces between the proximal and distal carpal rows help create reciprocal motion, which results in smooth, physiologic wrist mechanics...
August 1, 2023: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/36621361/the-onset-progress-and-factors-influencing-degenerative-arthritis-of-the-wrist-following-scaphoid-fracture-non-union
#12
JOURNAL ARTICLE
Joseph J Dias, Amin Kheiran, Donald N Ngo, Emmanuel Adeleye, Clare J Wildin, Aamer Ullah, Bhaskar Bhowal, Randy Bindra
BACKGROUND/AIMS: Scaphoid non-union causes osteoarthritis but factors associated are poorly understood. We investigated the rate of osteoarthritis after scaphoid fracture non-union, and if duration and fracture location influenced arthritis and its severity. METHODS: This retrospective cross-sectional observational study of 278 consecutive cases with scaphoid fracture non-union retrieved data on demographics, non-union duration, fracture location, dorsal intercalated segment instability (DISI), severity and distribution of wrist arthritis...
December 24, 2022: Injury
https://read.qxmd.com/read/36334992/midcarpal-instability-a-historical-and-etymological-review
#13
REVIEW
David M Lichtman, William F Pientka
Although midcarpal instability was first described almost 45 years ago, this uncommon condition is still poorly understood by most clinicians today. Adding to the confusion, it is known by 2 different names: midcarpal instability and carpal instability nondissociative. In this article, we describe the history of the recognition of instability of the midcarpal joint, including its pathomechanics, classification, and treatment. We hope that a more complete understanding of the etymology and kinematics of the disorder will facilitate its future recognition and assist in appropriate treatment decision making...
February 2023: Journal of Hand Surgery
https://read.qxmd.com/read/35813107/technique-for-reconstruction-of-midcarpal-instability-associated-with-lunotriquetral-coalition
#14
Shannon M Hall, Frank G Lee, Sean J Wallace, Nathan F Miller
Carpal coalition is a rare congenital presentation of 2 or more fused carpal bones due to a failure of apoptotic segmentation during development. The most common subtype is lunotriquetral coalition (LTC). Most cases are asymptomatic and found incidentally on imaging; however, a few symptomatic cases requiring treatment have been reported. Surgical intervention of arthrodesis and proximal row carpectomy in adults have been reported where conservative management of splinting, physiotherapy, anti-inflammatory medication, or steroid injections have failed...
July 2022: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/35646581/arthroscopic-midcarpal-tendon-interposition-a-new-technique-for-capitolunate-constraints
#15
JOURNAL ARTICLE
Jean-Baptiste de Villeneuve Bargemon, Clément Prenaud, Christophe Mathoulin, Lorenzo Merlini
Conflicts of the capitolunate, causing midcarpal pain from friction can be isolated (e.g., avascular necrosis of the proximal pole of the capitate [AVNC], palmar midcarpal instability [PMCI]) or form part of a framework of more complex osteoarthritis phenomena (e.g., scaphoid pseudarthrosis [SNAC], and lesions of the scapholunate capsuloligamentous complex [SLAC]). We group in the term "conflict" all of the causes (with intact cartilage or not) causing midcarpal pain by friction. Treatment by capitolunar arthrodesis can be effective, but inevitably stiffening...
May 2022: Arthroscopy Techniques
https://read.qxmd.com/read/35394136/-arthroscopic-reconstruction-of-scaphoid-nonunions
#16
REVIEW
Steffen Löw, Sebastian Kiesel, Christian K Spies, Holger Erne
OBJECTIVE: Minimally invasive arthroscopically assisted reconstruction of scaphoid nonunions. INDICATIONS: Delayed union or nonunion of the scaphoid with sclerosis and with indication for bone transplantation. Limited arthritic changes at the radial styloid. CONTRAINDICATIONS: Severe humpback deformity with dorsal intercalated segment instability. Midcarpal arthritic changes. SURGICAL TECHNIQUE: Supine position with the forearm upright and in neutral position, the elbow flexed by 90°, axial traction of 3 to 4 kg...
August 2022: Operative Orthopädie und Traumatologie
https://read.qxmd.com/read/35016786/correlation-between-dynamic-4-dimensional-computed-tomography-data-and-arthroscopic-testing-of-scapholunate-instability-a-preliminary-study
#17
JOURNAL ARTICLE
Jonathan Granero, Sinan Orkut, Aymeric Rauch, Alain Blum, Gilles Dautel, Pedro Augusto Gondim Teixeira, Lionel Athlani
PURPOSE: The aim of this study was to test the validity and reliability of the assessments of scapholunate (SL) instability status on 4-dimensional (4D) computed tomography (CT) using wrist arthroscopy as a reference standard. METHODS: Thirty-three patients (16 men, 17 women; mean age, 48 ± 13 years) with suspected SL instability were evaluated prospectively with 4D-CT and wrist arthroscopy. Based on the arthroscopic testing of SL joint, 2 groups were defined: group 1 (n = 8) consisted of patients who had no, or slight, SL malalignment in the midcarpal space and group 2 (n = 25) consisted of patients who had moderate or severe SL malalignment...
January 8, 2022: Journal of Hand Surgery
https://read.qxmd.com/read/34925596/excisional-arthroplasty-for-isolated-scaphotrapeziotrapezoidal-arthritis-with-the-use-of-palmaris-longus-tendon
#18
EDITORIAL
Konstantinos Raptis, Christos Koutserimpas, Aikaterini Bavelou, Emmanouil Fandridis, Sarantis Spyridonos
Background: Isolated scaphotrapeziotrapezoidal (STT) joint osteoarthritis (OA) is a relatively common condition. Scaphotrapeziotrapezoidal arthrodesis is the traditional treatment, while excisional arthroplasty with the use of flexor carpi radialis (FCR) or polycarbon implants represents a promising alternative surgical management. The present study aims to assess a novel alternative technique of excisional arthroplasty with the use of palmaris longus (PL) tendon as interposition material. Materials: The present research is a retrospective observational study...
September 2021: Mædica
https://read.qxmd.com/read/34381631/posttraumatic-carpal-instability-nondissociative
#19
JOURNAL ARTICLE
Lukas Urbanschitz, Tatjana Pastor, Benjamin Fritz, Andreas Schweizer, Lisa Reissner
Background  Posttraumatic midcarpal instability nondissociative (CIND) is an exceptional rare condition, therefore the outcome after different treatment options remains unknown. Questions  The purpose of this study was to investigate the different treatment options for posttraumatic CIND. We also describe the different radiological and magnetic resonance imaging (MRI) findings in this patient cohort. Patients and Methods  We present outcomes of 10 patients who developed CIND following acute wrist trauma between 2007 and 2018, 3 with dorsal intercalated segment instability pattern (CIND-DISI) and 7 with volar intercalated segment instability (CIND-VISI) radiographically...
August 2021: Journal of Wrist Surgery
https://read.qxmd.com/read/34176708/traumatic-nondissociative-carpal-instability-a-case-series
#20
JOURNAL ARTICLE
Francois Loisel, Steven Orr, Mark Ross, Greg Couzens, Andrew J Leo, Scott Wolfe
PURPOSE: We report 8 cases of acute or subacute unilateral nondissociative carpal instability (CIND) in the context of nondisplaced scaphoid fractures. METHODS: Eight patients from 3 centers developed abnormal volar intercalated segment instability (VISI) or dorsal intercalated segment instability (DISI) following the diagnosis of a nondisplaced scaphoid fracture. An operative inspection in each patient confirmed intact scapholunate and lunotriquetral interosseous ligaments...
March 2022: Journal of Hand Surgery
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