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Erschienen in: Current Reviews in Musculoskeletal Medicine 1/2017

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 | 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.
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Metadaten
Titel
Scapholunate and perilunate injuries in the athlete
verfasst von
Nathan T. Morrell
Amanda Moyer
Noah Quinlan
Adam B. Shafritz
Publikationsdatum
18.01.2017
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 1/2017
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-017-9383-x

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