Arthroscopic diagnosis of ligament lesions of the wrist.
144 patients with post-traumatic wrist pain but normal standard radiographs were examined by wrist arthroscopy. Ligamentous lesions were observed in 75 patients. TFCC lesions, classified according to the Palmer classification and including lunato-triquetral interosseous ligament lesions, were seen in 61, and scapho-lunate interosseous ligament lesions in 14 patients. Degenerative TFCC changes were equally common in patients younger than 40 years of age but significantly more common with more than 2 years duration of symptoms. Varying degrees of instability were noted in patients with scapho-lunate interosseous ligament lesions but no associated ligament lesions were observed. Because of the variety of pathological changes arthroscopy is recommended in the management of patients with post-traumatic wrist pain.
Department of Plastic Surgery, University Hospital, Linköping, Sweden.
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Adolfsson
D000328:Adult; D001182:Arthroscopy; D002348:Carpal Bones / Q000293:injuries / Q000473:pathology; D017885:Collateral Ligaments / Q000293:injuries* / Q000473:pathology; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000473:pathology; D012667:Lunate Bone / Q000293:injuries / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000473:pathology; D011884:Radius / Q000473:pathology; D014954:Wrist Injuries / Q000473:pathology*; D014955:Wrist Joint / Q000473:pathology*