کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4069999 1604388 2012 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Antipronation Spiral Tenodesis—A Surgical Technique for the Treatment of Perilunate Instability
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Antipronation Spiral Tenodesis—A Surgical Technique for the Treatment of Perilunate Instability
چکیده انگلیسی

Perilunate dislocations involve avulsion or rupture of both intrinsic and extrinsic ligaments around the lunate. If inadequately treated, these ligaments may not heal properly, inducing a particular type of carpal instability characterized by the loss of the ability of the carpus to resist pronation torques. Six ligaments protect the carpus against excessive intracarpal pronation: long radiolunate, palmar and dorsal lunotriquetral, dorsal scapholunate, dorsal intercarpal, and palmar scaphocapitate ligaments. Collectively, these antipronation ligaments have a spiral configuration around the carpus. This article describes a technique to reconstruct this spiral arrangement of ligaments using a strip of flexor carpi radialis. To illustrate the technique, we describe 1 clinical case with a follow-up of 34 months. The so-called antipronation spiral tenodesis is only indicated if the instability is easily reducible, without cartilage damage.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Hand Surgery - Volume 37, Issue 12, December 2012, Pages 2611–2618
نویسندگان
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