Oral Presentations Abstracts Seventh SICOT/SIROT Annual
There are several procedures described for treatment of SL dissociation. with scapholunate dissociation, scapholunate ligament tear, and avascular necrosis of the lunate (Figure 1). The patient was subsequently treated with corticosteroid injection of the wrist which only provided relief for less than a week. Other treatments including home care and over‐the‐counter pain medication did not provide relief.
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since 1995 only one case of avascular necrosis of the scaphoid [ 23] has been mentioned in available literature When logically reasoning about anatomical relationship between the scaphoid and the lunate, the new method presented here will restore better functioning of scapholunate ligament complex. Scapholunate dissociation: An overview of the clinical entity and current treatment options August 2009 European Journal of Orthopaedic Surgery & Traumatology 19(6):377-385 Although "scapholunate dissociation" is a descriptive term, it is used synonymously with its primary pathophysiologic correlate, scapholunate interosseous ligament (SLIL) injury. Although injury to additional ligaments is present in scapholunate dissociation, the SLIL is the major target of surgical reconstruction. 3 Main Treatments for a Scapholunate Ligament Injury. 1. Immobilization of the Wrist. Immobilization with a wrist orthosis in the acute stages is a common intervention provided by a therapist in the acute stage.
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1992;17A:354 –359. 69. Wolfe SW. “Scapholunate ligament repair” 1 Jan 2002 Despite the literature supporting the importance of early diagnosis and treatment, this problem is not often recognized on initial presentation.
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June 2002; Between December 1994 and December 1996, 26 patients with a scapholunate ligament injury scapholunate dissociation causes the scaphoid to flex palmar and the lunate to dorsiflex; if left untreated the DISI deformity can progress into a SLAC wrist . DISI deformity may also develop secondary to distal pole of the scaphoid excision for treatment of STT arthritis ; DISI is a form of carpal instability dissociative ; Anatomy Scapholunate dissociation: Involves a complete tear of the SLIL with additional tear of 1 or more secondary ligaments. The scaphoid usually rotates into flexion, and the lunate rotates into extension. This is apparent on plain static radiographs. Symptoms of scapholunate dissociation include pain, swelling and stiffness. Dr Catalano offers treatment for scapholunate dissociation in Westchester County, Morris County, Manhattan and Brooklyn, NY. Scapholunate dissociation is the most common cause of the wrist pain and instability and typically results from scapholunate interosseous ligament (SLIL) injury.
Treatment options are instead arthroscopic debridement or thermal shrinkage, pinning, or physiotherapy with re-education of the FCR. Acute total injuries are preferably treated within 4 to 6 weeks.
Experiences with Osteoligamentoplasty According to Weiss for the Treatment of Scapholunate Dissociation. Petersen W(1), Rothenberger J(1), Schaller HE(1), Rahmanian-Schwarz A(2), Held M(1).
Call Dr. Pruzansky at 212-249-8700 to schedule an appointment and maintain wrist stability. Video description: The soft bulging tissue above between the lunate, left, and scaphoid, right, represent a partial tear of the scapholunate interosseous ligament. Mid-term results of ligament tenodesis in treatment of scapholunate dissociation: a retrospective study of 20 patients A. Elgammal and B. Lukas Journal of Hand Surgery (European Volume) 2015 41 : 1 , 56-63
PDF | On Mar 1, 2003, Heidi Taylor Bloom and others published The treatment of chronic scapholunate dissociation: An evidence-based assessment of the
Treatment and prognosis; Differential diagnosis; Related articles; References.
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- Evaluation of the biomechanical efficacy of limited intercarpal fusions for the treatment of scapho-lunate dissociation. No clear consensus exists on the best treatment for patients with chronic symptomatic scapholunate dissociation uncomplicated by arthritis. Although most surgeons agree that operative intervention is indicated, their preferences are divided between soft-tissue and bony procedures. Even within these treatment categories, opinions vary.