Lunotriquetral sprains

Reagan, Douglas S.; Linscheid, Ronald L.; Dobyns, James H.

doi:10.1016/s0363-5023(84)80101-x

Cited by 278 publications

(137 citation statements)

References 13 publications

Supporting

Mentioning

112

Contrasting

Unclassified

Order By: Relevance

“…Focal dorsal tenderness at the lunotriquetral ligament was seen in 68.4% of patients and provocative testing using lunotriquetral ballottement, shear, and compression manoeuvres 11,21,22 was positive in 64.9%, 52.6% and 64.9%,…”

Section: Resultsmentioning

confidence: 99%

“…Lunotriquetral injuries range from incomplete tears to complete dissociation, with either dynamic or static carpal instability, and causes include attrition by age and ulnar positive variance, 1-3 perilunate [4][5][6][7] or reverse perilunate injury, [8][9][10][11] and dorsally applied forces. 12 Lunotriquetral tears may be isolated or part of a more severe carpal injury, such as a perilunate dislocation.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Treatment of isolated injuries of the lunotriquetral ligament

Shin

Weinstein

Berger

et al. 2001

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

We studied 57 patients with isolated lunotriquetral injuries treated by arthrodesis, direct ligament repair, or ligament reconstruction. The outcomes were compared by using written questionnaires, the Disabilities of the Arm, Shoulder and Hand (DASH) score, range of movement, strength, morbidity and rates of reoperation. Isolated lunotriquetral injury was confirmed by arthroscopy or arthrotomy. The mean age of the patients was 30.7 years (15.4 to 53.7) and the injuries were subacute or chronic in 98.2%. Eight patients underwent lunotriquetral reconstruction using a distally-based strip of the tendon of extensor carpi ulnaris, 27 had lunotriquetral repair and 22 had lunotriquetral arthrodesis. The mean follow-up was 9.5 years (2 to 22). The probability of remaining free from complications at five years was 68.6% for reconstruction, 13.5% for repair, and less than 1% for arthrodesis. Of the lunotriquetral arthrodeses, 40.9% developed nonunion and 22.7% developed ulnocarpal impaction. The probability of not requiring further surgery at five years was 68.6% for reconstruction, 23.3% for repair and 21.8% for arthrodesis. The DASH scores for each group were not significantly different. Objective improvements in strength and movement, subjective indicators of pain relief and satisfaction were significantly higher in the lunotriquetral repair and reconstruction groups than in those undergoing arthrodesis.

show abstract

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

Treatment of isolated injuries of the lunotriquetral ligament

Shin

Weinstein

Berger

et al. 2001

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

show abstract

“…The Reagan shuck test was used to look for peritriquetral instability. 6 Finally a midcarpal instability sign was looked for.…”

Section: Methodsmentioning

confidence: 99%

The wrist of the formula 1 driver.

Masméjean

Chavane²,

Chantegret³

et al. 1999

Br J Sports Med

View full text Add to dashboard Cite

Objectives-During formula 1 driving, repetitive cumulative trauma may provoke nerve disorders such as nerve compression syndrome as well as osteoligament injuries. A study based on interrogatory and clinical examination of 22 drivers was carried out during the 1998 formula 1 World Championship in order to better define the type and frequency of these lesions. Methods-The questions investigated nervous symptoms, such as paraesthesia and diminishment of sensitivity, and osteoligamentous symptoms, such as pain, specifying the localisation (ulnar side, dorsal aspect of the wrist, snuV box) and the eVect of the wrist position on the intensity of the pain. Clinical examination was carried out bilaterally and symmetrically. Results-Fourteen of the 22 drivers reported symptoms. One suVered cramp in his hands at the end of each race and one described a typical forearm eVort compartment syndrome. Six drivers had effort "osteoligamentous" symptoms: three scapholunate pain; one medial hyperpcomression of the wrist; two sequellae of a distal radius fracture. Seven reported nerve disorders: two eVort carpal tunnel syndromes; one typical carpal tunnel syndrome; one eVort cubital tunnel syndrome; three paraesthesia in all fingers at the end of a race, without any objective signs.Conclusions-This appears to be the first report of upper extremity disorders in competition drivers. The use of a wrist pad to reduce the eVects of vibration may help to prevent trauma to the wrist in formula 1 drivers. (Br J Sports Med 1999;33:270-273) Keywords: wrist; trauma; cumulative trauma; nerve compression; ligamentous distension; racing drivers In the literature, the incidence of wrist and hand injuries in the general sporting population is estimated to be about 25%.1 In weight lifting for instance, wrist lesion occurs in 12% of lifters.2 These injuries can be subdivided into four categories: overuse, nerve (and vascular), traumatic, and the weight lifting injuries.

show abstract

“…Fluoroscopy and image intensification may provide additional information regarding intercarpal, radioc,arpal, and ulnocarpal motion [2][3][4]. Radiocarpal arthrography is also useful in determining ligamentous integrity [5][6][7].…”

mentioning

confidence: 99%