Management of complications of ligament injuries of the wrist

Sreenadh Gella; Jennifer L Giuffre; Tod A Clark

doi:10.1016/j.hcl.2015.01.003

Management of complications of ligament injuries of the wrist

Hand Clin. 2015 May;31(2):267-75. doi: 10.1016/j.hcl.2015.01.003.

Authors

Sreenadh Gella¹, Jennifer L Giuffre¹, Tod A Clark²

Affiliations

¹ Section of Orthopedic and Plastic Surgery, Panam Clinic, University of Manitoba, 75 Poseidon Bay, Winnipeg, Manitoba R3M 3E4, Canada.
² Section of Orthopedic and Plastic Surgery, Panam Clinic, University of Manitoba, 75 Poseidon Bay, Winnipeg, Manitoba R3M 3E4, Canada. Electronic address: tclark@panamclinic.com.

PMID: 25934201
DOI: 10.1016/j.hcl.2015.01.003

Abstract

Despite advances in understanding the anatomy and biomechanics of wrist motion, intrinsic carpal ligament injuries are difficult to diagnose and treat. Even when an accurate diagnosis is made, there is no consensus on the most appropriate and reliable treatment. Injury predisposes to a progressive decline in wrist function and a predictable pattern of degenerative arthritis. To prevent inadequate outcomes, many treatment options exist, all having inherent benefits and complications. This article reviews the complications of intrinsic carpal ligament injuries and complications of their treatment. Methods to prevent and principles to manage the complications are discussed.

Keywords: Carpal instability; Complications; Lunotriquetral ligament; SLAC; Scapholunate ligament.

Publication types

Review

MeSH terms

Humans
Ligaments, Articular / injuries*
Ligaments, Articular / surgery
Wrist Injuries / complications*
Wrist Injuries / diagnosis
Wrist Injuries / physiopathology
Wrist Injuries / therapy