The value of arthroscopy in the evaluation of carpal instability
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abstract
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In a prospective study, arthroscopic examinations were performed on
42 wrists following injury. Clinical findings, radiology, and
arthrography were compared to the arthroscopic findings. Only
obvious or total ligamentous ruptures found on arthroscopy were
considered in the analysis. No direct correlation could be
demonstrated with clinical findings or arthrography. The
distribution pattern of ligament injury involving the radial and
ulnar compartment of the wrist joint in 40% of the cases suggests
that carpal dysfunction following injury and ligamentous tears is a
more complex problem than usually accepted. The ulnar midcarpal
joint seems more prone to injury than the radiocarpal portion of the
wrist. This suggests an important biomechanical function of the
palmar ligaments inserting on the triquetrum.
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citation
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Sennwald G R, Fischer M, Zdravkovic V. The value of arthroscopy in
the evaluation of carpal instability. Bull Hosp Jt Dis 1996;
54:186-9.
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type
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journal paper/review (English)
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date of publishing
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1996
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journal title
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Bull Hosp Jt Dis (54/3)
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ISSN print
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0018-5647
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pages
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186-9
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PubMed
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8919129
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