Sprains of the wrist: current data and therapeutic orientations

Despite the high incidence of wrist trauma, severe sprains with disruption of the ligaments are actually rare, apart from lesions of the scapholunate joint line. However, the diagnosis of severity should now be established, if not as an emergency, at least soon after the trauma, as deterioration of...

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Bibliographic Details
Published inAnnales de chirurgie Vol. 49; no. 1; p. 62
Main Author Ebelin, M
Format Journal Article
LanguageFrench
Published France 1995
Subjects
Bone Nails
Humans
Ligaments, Articular - anatomy & histology
Ligaments, Articular - injuries
Ligaments, Articular - surgery
Sprains and Strains - diagnosis
Sprains and Strains - pathology
Sprains and Strains - surgery
Tomography, X-Ray Computed
Wrist Injuries - diagnostic imaging
Wrist Injuries - pathology
Wrist Injuries - surgery
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Summary:Despite the high incidence of wrist trauma, severe sprains with disruption of the ligaments are actually rare, apart from lesions of the scapholunate joint line. However, the diagnosis of severity should now be established, if not as an emergency, at least soon after the trauma, as deterioration of carpal instability always leads top osteoarthritis after a variable interval of time. When a ligament lesion is suspected, initial pain-free immobilisation, plain and dynamic x-rays followed by at least arthrography of CT arthrography, should be performed. After describing scapholunate sprain, the commonest form, the other varieties are reviewed: pyramidolunate, midcarpal, scaphotrapezoid, radiocarpal and finally inferior radioulnar sprains.
ISSN:0003-3944