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Current Reviews in Musculoskeletal Medicine

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01-03-2017 | Hand and Wrist Sports Medicine (E Tolo and L Dwyer, section editors)

Scapholunate and perilunate injuries in the athlete

Authors: Nathan T. Morrell, Amanda Moyer, Noah Quinlan, Adam B. Shafritz

Published in: Current Reviews in Musculoskeletal Medicine | Issue 1/2017

Abstract

Purpose of the review

Scapholunate and perilunate injuries can be difficult to diagnose and treat in the athlete. In this review article, we present the mechanism of injury, evaluation, management, and outcomes of treatment for these injuries.

Recent findings

Acute repair of dynamic scapholunate ligament injuries remains the gold standard, but judicious use of a wrist splint can be considered for the elite athlete who is in season. The treatment of static scapholunate ligament injury remains controversial. Newer SL reconstructive techniques that aim to restore scapholunate function without compromising wrist mobility as much as tenodesis procedures show promise in athlete patients.

Summary

Acute injuries to the scapholunate ligament are best treated aggressively in order to prevent the sequelae of wrist arthritis associated with long-standing ligamentous injury. Acute repair is favored. Reconstructive surgical procedures to manage chronic scapholunate injury remain inferior to acute repair. The treatment of lunotriquetral ligament injuries is not well defined.

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Title: Scapholunate and perilunate injuries in the athlete
Authors: Nathan T. Morrell
Amanda Moyer
Noah Quinlan
Adam B. Shafritz
Publication date: 01-03-2017
Publisher: Springer US
Published in: Current Reviews in Musculoskeletal Medicine / Issue 1/2017
Electronic ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-017-9383-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Scapholunate and perilunate injuries in the athlete

Abstract

Purpose of the review

Recent findings

Summary

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose of the review

Recent findings

Summary

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