Scapholunate dissociation: An overview of the clinical entity and current treatment options August 2009 European Journal of Orthopaedic Surgery & Traumatology 19(6):377-385

Treatment for Stage 2 dynamic instability and Stage 3 scapholunate dissociation is directed at the sagittal and coronal plane alignment abnormalities. Sagittal plane abnormalities are related to the abnormal rotation of the scaphoid and are best addressed with dorsal capsulodesis.

It is the most frequent cause of wrist osteoarthritis, defined as scapholunate advanced collapse or SLAC wrist. Familiarity with the SL ligament complex is required to understand the various features of SL in … The treatment of scapholunate dissociation remains controversial. Although good to excellent results have been reported using a variety of surgical techniques, they have often not been confirmed by other authors. Limited wrist mobility and the likelihood that degenerative changes will progress appea … Scapholunate dissociation is the most common and most significant ligamentous injury of the wrist.[1][2] Scapholunate instability is the most frequent pattern of carpal instability occurring separately and as part of other wrist disorders.[3] It results from the relative instability between the scaphoid and lunate bones secondary to the injury of scapholunate ligament and generally scapholunate dissociation were review-ed and current methods used for clinical examination and ima~ging techniques were investigated. The literature con-cerning the various treatment modalities was then analyzed. An evidence-based assessment was conducted to evaluate the outcomes of different treatment methods. The quality of published Treatment of chronic static scapholunate dissociation with the modified Brunelli technique: preliminary results Act Orthop Belg , 73 ( 2007 ) , pp.

Se hela listan på 3pointproducts.com Se hela listan på radiopaedia.org Une nouvelle intervention pour la dissociation scapho-lunaire Proposition d'une nouvelle technique chirurgicale pour l'instabilité carpienne avec dissociation scapho-lunaire (11 cas) Article Dec 1995 Circular motion massages to the scar, from the palm moving towards the wrist using a simple moisturising cream. This must be carried out for 10 minutes, at least 3 times a day. Rubbing the scar on different textured materials to improve skin sensitivity. Submerging the hand under the cold and warm water to improve the temperature sensitivity. Diagnostic X‐ray examination showed severe degenerative joint disease of the left wrist with scapholunate dissociation, scapholunate ligament tear, and avascular necrosis of the lunate (Figure 1).

It usually occurs after a fall on an outstretched hand, with the extended to facilitate treatment options for SL ligament pathology beyond cessfully treat scapholunate dissociation associated with distal radius fractures? av J AnderSSon — Three-ligament tenodesis for the treatment of scapholunate dissociation: indications and surg ical technique. J Hand Surg.

The literature is clear that the most optimal acute treatment is an open repair of the ligament combined with a capsular back-up (capsulodesis) and the placement of temporary pins for 8 weeks. There still remains a risk of more surgery if the ligament does not heal or if carpal instability persists.

. Viegas SF, Patterson RM, Peterson PD, Pogue DJ, Jenkins DK, Sweo TD, et al.

Between December 1994 and December 1996, 26 patients with a scapholunate ligament injury (three with SLD 1. degrees, 16 with SLD 2. degrees and 7 with SLD 3. degrees ) underwent an operation for dorsal capsulodesis in the Klinik für Handchirurgie, Bad Neustadt/Saale. Mean follow-up was 24 months (16 to 37 months). Follow-up criteria were range of motion, grip strength, pain relief, and X-ray

They can diagnose your injury and the extent of the damage using an X-ray or CT scan to view the tissues in the wrist joint. From this they will be able to determine an appropriate treatment plan. 2018-04-01 · Scapholunate (SL) instability is the most common dissociative carpal instability condition [1], [4], [5], [6], [7], [8].

Three-ligament tenodesis for the treatment of scapholunate dissociation: indications and surgical technique The goal in the treatment of scapholunate dissociation is to stabilize the carpus in the appropriate alignment in addition to maintaining wrist range of The optimal method of attaining these goals is currently controversial.
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Hand Therapy, 10 May 2020 Case Report: A 30-year-old male with chronic scapholunate dissociation and ulnar impaction syndrome treated with modified Brunelli technique 4 Techniques to Fix Scapular Dyskinesis. 0 Comments. Treat Your SICK Scapula With These 4 Exercises. By Coach E. I started the high dose ozone therapy for my disseminated superficial actinic porokeratosis and my arms and legs, which were just awful, began to heal. Acute SL dissociation is the most commonly recognized and treated pattern of carpal instability.

Garcia-Elias described his own modification of this procedure in 2006 and called it the three-ligament tenodesis for treatment of scapholunate dissociation. since 1995 only one case of avascular necrosis of the scaphoid has been mentioned in available literature When logically reasoning about anatomical relationship between the scaphoid and the lunate, the new method presented here will Experiences with Osteoligamentoplasty According to Weiss for the Treatment of Scapholunate Dissociation. Petersen W(1), Rothenberger J(1), Schaller HE(1), Rahmanian-Schwarz A(2), Held M(1). Author information: (1)a BG Trauma Center, Department of Plastic, Reconstructive, Hand and Burn Surgery , Tuebingen , Baden Wuerttemberg , Germany.
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1 Jan 2002 Despite the literature supporting the importance of early diagnosis and treatment, this problem is not often recognized on initial presentation. With

Non-surgical treatment commonly includes splint use, client education, and low impact strengthening with isometric exercise.