Scapholunate Instability in Athletes - 03/09/11
Résumé |
The wrist is one of the most complex and least understood joints in the body. It is responsible for a tremendous variety of motions, yet must provide stability and strength. An elaborate system of intrinsic and extrinsic ligament helps to stabilize the individual bones in the wrist while allowing integrated motion. The athlete's wrist is particularly vulnerable to forces in excess of physiologic loads and is at high risk for injury.
Athletes often sustain injury to the wrist from falls onto an outstretched upper extremity, often with the wrist and arm in an hyperextended posture. This renders them susceptible to many forearm, wrist, and hand injuries with bony and ligamentous damage. With severe injuries, gross examination and radiographs are adequate to find fractures or severe ligament ruptures. Less severe ligament injuries can be missed and inappropriately treated as a “sprain,” often with a short period of bracing and return to play. The most common form of carpal instability is scapholunate dissociation.11, 15, 16
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Vol 20 - N° 1
P. 131-140 - janvier 2001 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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