What Should Physiotherapist Know about Carpal Instability?
Authors:
P. Dráč; P. Maňák
Authors place of work:
Katedra fyzioterapie FTK UP Olomouc
vedoucí prof. MUDr. J. Opavský, CSc.
; Traumatologické oddělení FN Olomouc
primář doc. MUDr. I. Čižmář, Ph. D.
Published in the journal:
Rehabil. fyz. Lék., 20, 2013, No. 2, pp. 58-63.
Category:
Original Papers
Summary
Carpal instability represents a heterogenic group of wrist injuries considering the extent of the injury, degree of damage and variability of symptomatology. They can be often unrecognited at the beginning – e.g. in the therapy of simultaneous fracture of distant end of radius. It is often the physiotherapist who primarily draws attention to complaints that become manifest in the course of the patient’s rehabilitation after fracture of the distal radius, secaphoid, or treated for vague diagnosis of the wrist distortion which are caused by wrist instability. The establishment of diagnosis may be based on clinical tests, radiologic examination including stress images, magnetic resonance or wrist arthroscopy. An early and precise classification of the injury makes it possible to select a suitable therapeutic procedure and accordingly improve the chance for favorable clinical results.
Keywords:
carpal instability, scapholunate ligament, lunotriquetral ligament, injury classification, clinical tests
Zdroje
1. DOSPĚL, I., DRÁČ, P., ČIŽMÁŘ, I.: Diagnostika a léčba perilunátních luxací. Prakt. Lék., roč. 87, 2007, s. 741-743.
2. JONES, W. A.: Beware the sprained wrist. The incidence and diagnosis of scapholunate instability. J. Bone Joint Surg., roč. 70B, 1988, č. 2, s. 293-297.
3. GARCIA-ELIAS, M.: Carpal instabilities and dislocations. In: GREEN, D. P., HOTCHKISS, R. N., PEDERSON, W. C.: Green's operative hand surgery, 4th edition. Philadelphia, Churchill Livingstone, 1999, s. 865-928.
4. GARCIA-ELIAS, M.: Carpal instability. In: GREEN, D. P., HOTCHKISS, R. N., PEDERSON, W. C., WOLFE, S. W.: Green's operative hand surgery, 5th edition. Philadelphia, Churchill Livingstone, 2005, s. 535-604.
5. HUGHES, T. B., BRAEBENDER, C.: Acute scaphoid fractures. Current Orthopaedic Practice, roč. 23, 2012, č. 4, s. 296-299.
6. KOZIN, S. H.: Incidence, mechanism, and natural history of scaphoid fractures. Hand Clin., roč. 17, 2001, s. 515-524.
7. MAŇÁK, P., DRÁČ, P.: Zlomeniny os scaphoideum. In: MAŇÁK, P., DRÁČ, P.: Osteosyntézy a artrodézy skeletu ruky. Praha, Grada Publishing, a.s., 2012, s. 35-46.
8. PECHLANER, S., KATHREIN, A., GABL, M., LUTZ, M., ANGERMANN, P. et al.: Distal radius fractures and concomitant injuries: experimental studies concerning pathomechanismus. J. Hand Surg., roč. 28B, č. 6, s. 609-616.
9. PEICHA, G., SEIFERT, F. J., FELLINGER, M., GRECHENIG, W.: Midterm results of arthroscopic treatment of scapholunate ligament lesions associated with intraarticular distal radius fractures. Knee Surg, Sports Traumatol, Arthrosc., roč. 7, 1999, s. 327-333.
10. PEVNY, T., RAYAN, G. M., EGLE, D.: Ligamentous and tendinous support of the pisiform, anatomic and biomechanical study. J. Hand Surg., roč. 20A, 1995, s. 299-304.
11. PILNÝ, J., ČIŽMÁŘ, I.: Nestability zápěstí. In:PILNÝ, J., SLODIČKA, R. (eds): Chirurgie ruky. Praha, Grada Publishing, a.s., 2011, s. 127-153.
12. SCHMITT, R., STAEBLER, A., KRIMMER, H.: Carpal instability. In: SCHMITT, R., LANZ, U. (eds.): Diagnostic imaging of the hand. 1st edition, Stuttgart – New York, Tyjeme, 2008, s. 269-292.
13. WATSON, H. K., BALLET, F. L.: The SLAC wrist: scapholunate advanced collapse pattern of degenerative arthritis. J. Hand Surg., roč. 9A, 1984, s. 358-365.
14. WONG, T. C., YIP, T. H., WU, W. C.: Carpal ligament injuries with acute scaphoid fractures – a combined wrist injury. J. Hand Surg. Eur., roč. 30, 2005, č. 4, s. 415-418.
Štítky
Physiotherapist, university degree Rehabilitation Sports medicineČlánok vyšiel v časopise
Rehabilitation and Physical Medicine
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