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Arthroscopic Diagnosis of Ligament Lesions of the Wrist

From the Department of Plastic Surgery, Hand Surgery and Burns, University Hospital, Linköping, Sweden

Correspondence: Lars Adolfsson Department of Plastic Surgery, Hand Surgery and Burns, University Hospital, Linköping, Sweden.

144 patients with post-traumatic wrist pain hut normal standard radiographs were examined by wrist arthroscopy. Ligamentous lesions were observed in 75 patients. TFCC lesions, classified according to the Palmer classification and including lunato-triquetral interosseous ligament lesions, were seen in 61, and scapho-lunate interosseous ligament lesions in 14 patients. Degenerative TFCC changes were equally common in patients younger than 40 years of age but significantly more common with more than 2 years duration of symptoms.

Varying degrees of instability were noted in patients with scapho-lunate interosseous ligament lesions but no associated ligament lesions were observed. Because of the variety of pathological changes arthroscopy is recommended in the management of patients with post-traumatic wrist pain.

Journal of Hand Surgery (British and European Volume), Vol. 19, No. 4, 505-512 (1994)
DOI: 10.1016/0266-7681(94)90217-8


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