Skip to main content
SpringerLink
Log in
Book cover

Arthroscopy and Sport Injuries pp 237–243Cite as

Wrist Ligament Injuries

  • Chapter

Abstract

Wrist trauma during sporting activities, whether direct or due to a force transmitted to the wrist, may result in several types of ligament injuries. The most frequently affected ligaments are the scapholunate (SL) or, more rarely, the lunotriquetral (LT) ligaments, which provide stability to the proximal carpal row, and the triangular fibrocartilage complex (TFCC), which stabilises the distal radioulnar joint (DRUJ). SL and LT tears may lead to carpal instability, whereas a TFCC tear may cause instability of the distal radioulnar joint.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Luchetti R, Pegoli L, Papini Zorli I, Garcia Elias M (2007) Le instabilità del carpo. In: Trattato di chirurgia della mano. Verduci Editore, Rome, pp 117–157

    Google Scholar 

  2. Bell MJ (1983) Perilunar dislocation of the carpus and associated Colles fracture. Hand 15:262–266

    CAS  PubMed  Google Scholar 

  3. Lindau T, Arner M, Hagberg L (1997) Intraarticular lesions in distal fractures of the radius in young adults. A descriptive arthroscopic study in 50 patients. J Hand Surg Br 22(5):638–643

    Article  CAS  PubMed  Google Scholar 

  4. Mayfield JK (1980) Mechanism of carpal injuries. Clin Orthop 149:45–54

    PubMed  Google Scholar 

  5. Mayfield JK, Johnson RP, Kilcoyne RF (1976) The ligaments of human wrist and their significance. Anat Rec 186:417–426

    Article  CAS  PubMed  Google Scholar 

  6. Wagner CJ (1956) Perilunar dislocations. J Bone Joint Surg 38A:1198–1230

    Google Scholar 

  7. Reagan DS, Linscheid RL, Dobyns JH (1984) Lunotriquetral sprains. J Hand Surg Am 9A:502–514

    Article  Google Scholar 

  8. Garcia-Elias M, Geissler WB (2004) Carpal instability. In: Green DP, Hotchkiss RN, Pederson WC, Wolfe SW (eds) Green’s operative hand surgery, 5th edn. Elsevier, Philadelphia, pp 535–604

    Google Scholar 

  9. Schädel-Höpfner M, Iwinska-Zelder J, Braus T, Bohringer G, Klose KJ, Gotzen L (2001) MRI versus arthroscopy in the diagnosis of scapholunate ligament injury. J Hand Surg Br 26 B:17–21

    Article  Google Scholar 

  10. Geissler WB, Freeland AE, Savoie FH, McIntyre LW, Whipple TL (1996) Intracarpal soft-tissue lesions associated with intra-articular fracture of the distal end of the radius. J Bone Joint Surg 78A:357–365

    Google Scholar 

  11. Linscheid RL (1984) Scapholunate ligamentous instabilities (dissociations, subdislocations, dislocations). Ann Chir Main 3:323–330

    Article  CAS  PubMed  Google Scholar 

  12. Weiss APC, Sachar K, Glowacki KA (1997) Arthroscopic debridement alone for intercarpal ligament tears. J Hand Surg Am 22A:344–349

    Article  Google Scholar 

  13. Blatt G (1994) Dorsal capsulodesis for rotatory subluxation of the scaphoid. In: Gelberman RH (ed) Master techniques in orthopedic surgery: the wrist. Raven Press, New York, pp 147–166

    Google Scholar 

  14. Weiss APC (1998) Scapholunate ligament reconstruction using a bone-retinaculum-bone autograft. J Hand Surg Am 23A:205–215

    Article  Google Scholar 

  15. Wahegaonkar AL, Mathoulin CL (2013) Arthroscopic dorsal capsulo-ligamentous repair in the treatment of chronic scapho-lunate ligament tears. J Wrist Surg 2(2):141–148

    Article  PubMed Central  PubMed  Google Scholar 

  16. Del Piñal F (2013) Arthroscopic volar capsuloligamentous repair. J Wrist Surg 2(2):126–128

    Article  PubMed Central  PubMed  Google Scholar 

  17. Brunelli GA, Brunelli GR (1995) A new surgical technique for carpal instability with scapho-lunar dislocation: Eleven cases. Ann Chir Main Memb Super 14:207–213

    Article  CAS  PubMed  Google Scholar 

  18. Van Den Abbeele KLS, Loh YC, Stanley JK, Trail IA (1998) Early results of a modified Brunelli procedure for scapholunate instability. J Hand Surg Br 23B:258–261

    Google Scholar 

  19. Rosenwasser MP, Strauch RJ, Miyasaka KC (1997) The RASL procedure: reduction and association of the scaphoid and lunate using the Herbert screw. Tech Hand Up Extrem Surg 1:263–272

    Article  CAS  PubMed  Google Scholar 

  20. Cognet JM, Levadoux M, Martinache X (2011) The use of screws in the treatment of scapholunate instability. J Hand Surg Eur Vol 36(8):690–693

    Article  CAS  PubMed  Google Scholar 

  21. Kihara H, Short WH, Werner FW, Fortino MD, Palmer AK (1995) The stabilizing mechanism of the distal radioulnar joint during pronation and supination. J Hand Surg Am 20A:930–936

    Article  Google Scholar 

  22. Cozzolino R, Luchetti R, Atzei A (2013) Instabilità della radio ulnare distale: concetti generali. Riv Cir Mano Vol 50(2):214–218

    Google Scholar 

  23. Nakamura T, Yabe Y, Horiuchi Y (1996) Functional anatomy of the triangular fibrocartilage complex. J Hand Surg Br 21(5):581–586

    Article  CAS  PubMed  Google Scholar 

  24. Dwek JR, Cardoso F, Chung CB (2009) MR imaging of overuse injuries in the skeletally immature gymnast: spectrum of soft-tissue and osseous lesions in the hand and wrist. Pediatr Radiol 39(12):1310–1316

    Article  PubMed Central  PubMed  Google Scholar 

  25. Baratz ME (2012) Central TFCC tears in baseball players. Hand Clin 28(3):339

    Article  PubMed  Google Scholar 

  26. Palmer AK (1989) Triangular fibrocartilage complex lesions: a classification. J Hand Surg Am 14(4):594–606

    Article  CAS  PubMed  Google Scholar 

  27. Atzei A (2009) New trends in arthroscopic management of type 1-B TFCC injuries with DRUJ instability. J Hand Surg Eur Vol 34(5):582–591

    Article  CAS  PubMed  Google Scholar 

  28. Atzei A, Luchetti R (2011) Foveal TFCC tear classification and treatment. Hand Clin 27(3):263–272

    Article  PubMed  Google Scholar 

  29. Tay SC, Tomita K, Berger RA (2007) The “ulnar fovea sign” for defining ulnar wrist pain: an analysis of sensitivity and specificity. J Hand Surg Am 32(4):438–444

    Article  PubMed  Google Scholar 

  30. Pederzini L, Luchetti R, Soragni O, Alfarano M, Montagna G, Cerofolini E, Roth JH (1992) Evaluation of the triangular fibrocartilage complex tears by arthroscopy, arthrography and MRI. Arthroscopy 8:191–197

    Article  CAS  PubMed  Google Scholar 

  31. Oneson SR, Timins ME, Scales LM, Erickson SJ, Chamoy L (1997) MR imaging diagnosis of triangular fibrocartilage pathology with arthroscopic correlation. AJR Am J Roentgenol 168(6):1513–1518

    Article  CAS  PubMed  Google Scholar 

  32. Potter HG, Asnis-Ernberg L, Weiland AJ, Hotchkiss RN, Peterson MG, McCormack RR Jr (1997) The utility of high-resolution magnetic resonance imaging in the evaluation of the triangular fibrocartilage complex of the wrist. J Bone Joint Surg Am 79(11):1675–1684

    CAS  PubMed  Google Scholar 

  33. Meier R, Schmitt R, Krimmer H (2005) Wrist lesions in MRI arthrography compared with wrist arthroscopy. Handchir Mikrochir Plast Chir 37(2):85–89

    Article  CAS  PubMed  Google Scholar 

  34. De Filippo M, Pogliacomi F, Bertellini A, Araoz PA, Averna R, Sverzellati N, Ingegnoli A, Corradi M, Costantino C, Zompatori M (2010) MDCT arthrography of the wrist: diagnostic accuracy and indications. Eur J Radiol 74(1):221–225

    Article  PubMed  Google Scholar 

  35. Stanley J, Saffar P (1994) Wrist arthroscopy. Martin Dunitz, London

    Google Scholar 

  36. Pederzini LA, Tosi M, Prandini M, Botticella C (2007) All-inside suture technique for Palmer class 1B triangular fibrocartilage repair. Arthroscopy 23(10):1130.e1–1130.e4

    Article  Google Scholar 

  37. Del Piñal F, García-Bernal FJ, Cagigal L, Studer A, Regalado J, Thams C (2010) A technique for arthroscopic all-inside suturing in the wrist. J Hand Surg Eur Vol 35(6):475–479

    Article  PubMed  Google Scholar 

  38. Pezzella G, Zucco P, Drocco L, Sartori A (2001) Ulnar styloid nonunion with DRUJ instability: arthroscopic suture of triangular fibrocartilage (TFC) with Mitek anchor. Artroscopia II(2):108–113

    Google Scholar 

  39. Lephart SM, Pincivero DM, Giraldo JL, Fu FH (1997) The role of proprioception in the management and rehabilitation of athletic injuries. Am J Sports Med 25(1):130–137

    Article  CAS  PubMed  Google Scholar 

  40. Fairplay T (2013) Instabilità radio-ulnare distale. Riabilitazione neuromuscolare e propriocettiva del polso e della mano. Riv Chir Mano Vol 50(2):227–233

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Orthopaedic Equipe in Presidio Chirurgico Capitanio, Istituto Auxologico Italiano, Via Mercalli 30, Milano, 20122, Italy

    Giulio Pezzella, Andrea Burini & Marcello Nava

Authors
  1. Giulio Pezzella
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Andrea Burini
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Marcello Nava
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Giulio Pezzella .

Editor information

Editors and Affiliations

  1. Knee Orthopedics and Sport Traumatology Unit,, Humanitas Clinical Institute IRCCS, Milan, Italy

    Piero Volpi

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Pezzella, G., Burini, A., Nava, M. (2016). Wrist Ligament Injuries. In: Volpi, P. (eds) Arthroscopy and Sport Injuries. Springer, Cham. https://doi.org/10.1007/978-3-319-14815-1_30

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-14815-1_30

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-14814-4

  • Online ISBN: 978-3-319-14815-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation