Résumé
L’anatomie et la physiologie du carpe sont extrêmement complexes, ce qui explique la difficulté du diagnostic d’une entorse grave du poignet qui, si elle est mal traitée, va évoluer vers l’instabilité chronique, source de douleurs et d’arthrose. Nous proposons un algorithme clinique pour évaluer les entorses scapholunaires, mais également lunotriquetrales, et une analyse des radiographies basée sur les notions anatomiques pour ne pas méconnaître les lésions ligamentaires associées aux fractures du poignet.
Abstract
The anatomy and physiology of the wrist are very complex, which is why it is difficult to diagnose a severe wrist sprain, which, if inadequately treated, will result in wrist pain and degenerative arthritis. We propose a clinical algorithm for assessing both scapholunate and lunotriquetral sprains. We also propose a radiological analysis of wrist fractures based on anatomical concepts, so as to avoid missing ligamentous lesions associated with wrist fractures.
This is a preview of subscription content, log in via an institution to check access.
Références
Oberlin C (2002) Manuel de chirurgie du membre supérieur. Éditions Elsevier, Paris
Destot E (2006) The classic: injuries of the wrist: a radiological study. Paul B. Hoeber, New York, NY; 1926. Clin Orthop Relat Res 445:8–14
Green DP (2006) Operative hand surgery. Editions Churchill Livingstone, Philadelphia
Moritomo H, Murase T, Goto A, et al (2006) In vivo three-dimensional kinematics of the midcarpal joint of the wrist. J Bone Joint Surg Am 88:611–621
Moojen TM, Snel JG, Ritt MJ, et al (2002) Three-dimensional carpal kinematics in vivo. Clin Biomech (Bristol, Avon) 17(7):506–514
Camus EJ, Millot F, Larivière J, et al (2008) The double-cup carpus: a demonstration of the variable geometry of the carpus. Chir Main 27(1):12–19
Kaufmann R, Pfaeffle J, Blankenhorn B, et al (2005) Kinematics of the midcarpal and radiocarpal joints in radioulnar deviation: an in vitro study. J Hand Surg Am 30(5):937–942
Patterson RM, Nicodemus CL, Viegas SF, et al (1998) High-speed, three-dimensional kinematic analysis of the normal wrist. J Hand Surg Am 23(3):446–453
Reagan DS, Linscheid RL, Dobyns JH (1984) Lunotriquetral sprains. J Hand Surg Am 9:502–514
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Soubeyrand, M., Dumontier, C. Traumatismes ligamentaires aigus du poignet. Lett Med Phys Readapt 25, 43–54 (2009). https://doi.org/10.1007/s11659-009-0123-5
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11659-009-0123-5