[Scapholunate instability. Diagnosis--classification--treatment].
Scapholunate instability is more or less caused by injury. The ligament instability between lunate and scaphoid is not easily to be identified even there is only a little widening of this space between both bones. The instability may be proved by physical examination, by x-ray and by arthroscopy. The scapholunate instability may occur in a different manner. It is divided in three stages. In stage I a none operative treatment is sufficient. For the other stages an operative treatment is necessary: The operative treatment begins with suture of the ligament, continues with ligamentoplasty and ends with intracarpal fusions. At least a total arthrodesis of the wrist is necessary.
Willebrand
J
J
Bereich Handchirurgie, Krankenhaus Waldfriede, Berlin.
D001174:Arthrodesis / Q000379:methods*; D001182:Arthroscopy; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging* / Q000601:surgery; D008023:Ligaments, Articular / Q000503:physiopathology / Q000601:surgery; D011859:Radiography; D014954:Wrist Injuries / Q000145:classification; D014955:Wrist Joint / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery