Erschienen in:
18.01.2017 | Hand and Wrist Sports Medicine (E Tolo and L Dwyer, section editors)
Scapholunate and perilunate injuries in the athlete
verfasst von:
Nathan T. Morrell, Amanda Moyer, Noah Quinlan, Adam B. Shafritz
Erschienen in:
Current Reviews in Musculoskeletal Medicine
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Ausgabe 1/2017
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Abstract
Purpose of the review
Scapholunate and perilunate injuries can be difficult to diagnose and treat in the athlete. In this review article, we present the mechanism of injury, evaluation, management, and outcomes of treatment for these injuries.
Recent findings
Acute repair of dynamic scapholunate ligament injuries remains the gold standard, but judicious use of a wrist splint can be considered for the elite athlete who is in season. The treatment of static scapholunate ligament injury remains controversial. Newer SL reconstructive techniques that aim to restore scapholunate function without compromising wrist mobility as much as tenodesis procedures show promise in athlete patients.
Summary
Acute injuries to the scapholunate ligament are best treated aggressively in order to prevent the sequelae of wrist arthritis associated with long-standing ligamentous injury. Acute repair is favored. Reconstructive surgical procedures to manage chronic scapholunate injury remain inferior to acute repair. The treatment of lunotriquetral ligament injuries is not well defined.