Injury of the Scapholunate Interosseal Ligament – Scapholunate Dissociation
Poranění skafolunátního vazu – skafolunátní disociace
Poranění skafolunátního vazu, které se klinicky projevuje jako bolest, přeskakování, slabost či omezená hybnost v zápěstí, je pravděpodobně nejčastější příčinou karpální nestability. Důsledkem insuficietního poraněného vazu je patologické postavení os lunatum i os scaphoideum. Tím se změní celá kinematika zápěstí, která postupně způsobuje nevratné degenerativní artrotické změny. Včasná diagnostika s adekvátním ošetřením je základem úspěšné terapie a prevence kolapsu zápěstí.
Klíčová slova:
skafolunátní disociace, nestabilita zápěstí, kolaps zápěstí, zlomeniny distálního rádia, artróza zápěstí.
Authors:
D. Ira; I. Čižmář; M. Mašek; J. Bučil 1; A. Šprláková 2
Authors‘ workplace:
Klinika úrazové chirurgie FN, Brno
; Radiologická klinika FN, Olomouc
1; Radiologická klinika FN, Brno
2
Published in:
Čas. Lék. čes. 2006; 145: 460-463
Category:
Review Article
Overview
Scapholunate interosseal ligament tears manifested with pain, a popping, weakness of the wrist, or limited wrist motion, are probably the most frequent cause of carpal instability. Insufficiency of the injured scapholunate ligament results in pathologic scaphoid and lunate position with wrist kinematics changes that cause irreversible degenerative arthrotic changes. The timely diagnosis combined with proper treatment is required for successful therapy and carpal collapse prevention.
Key words:
scapholunate dissociation, carpal instability, carpal collapse, distal radius fractures, carpal arthrosis.
Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistArticle was published in
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