title: Scapholunate instability. : Diagnosis - classification - treatment.
abstract: 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 occure in a different manner. It is divided in three stages. In stage I a none operative treatment is suficiant. 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.
authors.affiliation: Bereich Handchirurgie, Krankenhaus Waldfriede, Berlin, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Willebrand
keywords: Key words Wrist • Instability • Suture of ligament •; Ligamentoplasty • Arthrodesis