Scapholunate Ligament Injuries, An Issue of Atlas of the Hand Clinics

Scapholunate Ligament Injuries, An Issue of Atlas of the Hand Clinics
(The Clinics: Orthopedics)
By A. Lee Osterman, MD (Consulting Editor), Mark S. Cohen, MD (Guest Editor)
Publisher: Saunders
Number Of Pages: 113
Publication Date: 2003-09-27
ISBN-10 / ASIN:
ISBN-13 / EAN:

Product Description:

Over the past 30 years there have been many advances in our understanding and treatment of wrist ligament injuries since Linsheid et al’s classic work on the diagnosis and classification of carpal instability [1]. However, the most appropriate treatment for a simple disruption of the scapholunate interosseous ligament remains quite controversial. In 1992, 20 years after their original treatise on scapholunate dissociation, Linsheid and Dobyns stated that ‘‘the physician who solves this problem with an uncomplicated and reliable solution will have indebted us all [2].’’ Unfortunately, not much has changed over the past 10 years. This is supported by this issue of the Atlas of Hand Clinics, which is devoted to our current understanding and treatment of this condition.
The topic of scapholunate dissociation is broken down into sections, beginning with an introduction on the anatomy and natural history of the problem, followed by a review of clinical examination, imaging, and staging. Next, treatment options for acute scapholunate ligament tears are reviewed, including open and arthroscopic techniques. The management of more chronic scapholunate dissociation without arthritis follows. Soft tissue and bony reconstructive options are covered for this most difficult problem. Lastly, salvage procedures are reviewed when dissociation leads to degenerative arthritis of the wrist.

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