title: The management of scapholunate wrist instability: a review.
abstract: An injury to the ligament linking the scaphoid with the lunate is the most common and and budrened with the most negative sequelae cause of the carpal instability. It occurs most frequently as an associated injury at fractures of the distal radius. A review of methods of treatment of the pathology is provided, according to clinical advancement, duration form original trauma and condition of articular structures. Technical complexity of methods is directly related to severity of intrarticular changes. In early, dynamic instabilities, a simple, temporary scapholunate arthrodesis with K-wires is is an useful procedure, preventing further development of chronic instsbility. In later stages. The treatment is technically more demanding, considering re-alignment of carpal anatomy with ligaments or tendons (capsulodesis or tenodesis). An usefulness of arthroscopy in diagnostics and management at any stage of this pathology was emphasized.
authors.affiliation: Clinic of General and Hand Surgery, Pomeranian Medical University, Szczecin, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Zyluk
authors.forename: Bernard
authors.initials: B
authors.lastname: Piotuch
mesh_terms: D001864:Bone Wires; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008023:Ligaments, Articular / Q000601:surgery*; D016059:Range of Motion, Articular; D012421:Rupture; D021361:Scaphoid Bone / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D016474:Weight-Bearing; D014955:Wrist Joint / Q000473:pathology