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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Slutsky, David J. |
| Description | Country affiliation: United States Author Affiliation: Slutsky DJ ( South Bay Hand Surgery Center, Torrance, CA 90503, USA. d-slutsky@msn.com) |
| Abstract | PURPOSE: The goal of this study was to examine the incidence of dorsal radiocarpal ligament (DRCL) tears in patients having diagnostic arthroscopy for chronic wrist pain. METHODS: A chart review was performed of 64 patients who had diagnostic wrist arthroscopy for chronic wrist pain that was refractory to conservative measures. For each case, interosseous ligament instability/tears were graded according to the Geissler classification. Tears of the triangular fibrocartilage complex and the presence or absence of a DRCL tear were noted. RESULTS: There were 35 of 64 wrists (in 64 patients) with DRCL tears. The average duration of wrist pain prior to treatment was 20 months. Only 10 patients could recall a specific injury. Five patients had an isolated DRCL tear. A scapholunate interosseous ligament injury was identified in 13 patients, of whom 7 had a concomitant DRCL tear. A lunotriquetral interosseous ligament injury was present in 7 patients, of whom 2 had a concomitant DRCL tear. Two patients had a capitohamate ligament tear: 1 of these patients had a DRCL tear. There were 7 patients with a solitary triangular fibrocartilage complex tear: 6 of 7 were in association with a DRCL tear. One patient had a chronic ulnar styloid nonunion and a DRCL tear. Two or more lesions were present in 23 patients; DRCL tears were present in 12. CONCLUSIONS: DRCL tears are commonly seen with injuries to the primary wrist stabilizers. Recognition of this condition and further research into treatment methods are needed. TYPE OF STUDY/LEVEL OF EVIDENCE: Diagnostic IV. |
| File Format | HTM / HTML |
| ISSN | 03635023 |
| Issue Number | 3 |
| Volume Number | 33 |
| e-ISSN | 15316564 |
| Journal | The Journal of Hand Surgery |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2008-03-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Surgery Arthralgia Etiology Arthroscopy Ligaments, Articular Injuries Wrist Injuries Diagnosis Wrist Joint Physiopathology Adult Humans Middle Aged Retrospective Studies Triangular Fibrocartilage Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Surgery |
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