Although "scapholunate dissociation" is a descriptive term, it is used synonymously with its primary pathophysiologic correlate, scapholunate interosseous ligament (SLIL) injury. Although injury to additional ligaments is present in scapholunate dissociation, the SLIL is the major target of surgical reconstruction.

Scapholunate dissociation is the most common and most significant ligamentous injury of the wrist.[1][2] Scapholunate instability is the most frequent pattern of carpal instability occurring separately and as part of other wrist disorders.[3] It results from the relative instability between the scaphoid and lunate bones secondary to the injury of scapholunate ligament and generally

Immobilize the wrist Treatment and prognosis; Differential diagnosis; Related articles; References. Images: Cases and figures 2 Feb 2021 scapholunate dissociation causes the scaphoid to flex palmar and the to distal pole of the scaphoid excision for treatment of STT arthritis. 15 Apr 2020 Traditionally, the treatment options for advanced arthritis have been bleak, including salvage options such as scaphoid excision and four-corner Dr Wells at Atlas Orthopaedics in Woodstock, GA offers treatment for scapholunate dissociation and scapholunate ligament injury. Massage therapy; Physical therapy; Acupuncture; Immobilization with a splint or cast. Surgical Treatment. Surgery is recommended by your doctor if non-surgical treatment for patients with chronic symptomatic scapholunate dissociation uncomplicated by arthritis.

Management of scapholunate instability is both complex and controversial. Therapeutic options range from splinting and casting or arthroscopic treatment to ligament reconstruction using autograft tendons. Nearly 40 years after the seminal work of Drs. Dobyns and Linscheid, the results of surgery remain unpredictable. The wrist is complex joint consisting of 8 small bones, connected to each other with many strong ligaments.

Although good to excellent results have been reported using a variety of surgical techniques, they have often not been confirmed by other authors.

Dr Wells at Atlas Orthopaedics in Woodstock, GA offers treatment for scapholunate dissociation and scapholunate ligament injury.

Although injury to additional ligaments is present in scapholunate dissociation, the SLIL is the major target of surgical reconstruction. The scapholunate (SL) ligament runs between the scaphoid and the lunate and provides crucial support to allow appropriate carpal mechanics at the wrist during motion and use of the hand. Injury and tearing of this ligament can occur with trauma or as a progressive degenerative weakening of the ligament. Diagnostic X‐ray examination showed severe degenerative joint disease of the left wrist with scapholunate dissociation, scapholunate ligament tear, and avascular necrosis of the lunate (Figure 1).

treatment of scapholunate dissociation in both dynamic and static instabilities. Keywords: Scapholunate dissociation, Scapholunate instability, Modified Brunelli procedure, Rotatory subluxation of the scaphoid Background Scapholunate instability is the most frequent pattern of carpal instability occurring separately and as part of other wrist

In this chapter on scapholunate ligament injury, we first describe wrist anatomy and biomechanics so that the reader can then have an understanding of the pathomechanics of scapholunate dissociation and its classification.

Scapholunate (SL) instability is the most common dissociative carpal instability condition. It is the most frequent cause of wrist osteoarthritis, defined as scapholunate advanced collapse or SLAC wrist.
Behandling anorexia barn

Therapeutic options range from splinting and casting or arthroscopic treatment to ligament reconstruction using autograft tendons. Nearly 40 years after the seminal work of Drs. Dobyns and Linscheid, the results of surgery remain unpredictable. Carpal bones - Perilunate - Scapholunate dissociation - Ligament repair.

f_busse@freenet.de Physiotherapy treatment for scapholunate dissociation.
Biskopsgatan 14

2020-08-17

Author information: (1)a BG Trauma Center, Department of Plastic, Reconstructive, Hand and Burn Surgery , Tuebingen , Baden Wuerttemberg , Germany.

Scapholunate ligament (SLL) injury of the wrist is common in young individuals Surgical treatment for chronic scapholunate dissociation and scapholunate

Mid-term results of ligament tenodesis in treatment of scapholunate dissociation: a retrospective study of 20 patients A. Elgammal and B. Lukas Journal of Hand Surgery (European Volume) 2015 41 : 1 , 56-63 PDF | On Mar 1, 2003, Heidi Taylor Bloom and others published The treatment of chronic scapholunate dissociation: An evidence-based assessment of the Treatment and prognosis; Differential diagnosis; Related articles; References.

If you had a recent scapholunate ligament injury, the early goal of treatment will be pain control. This may include wearing a wrist splint or cast, decreasing activity and resting the wrist.