Diagnostics of scapho-lunate ligament injury [Діагностика ушкоджень човноподібно-півмісяцевої зв’язки]
Journal Title: Orthopaedics, Traumatology and Prosthetics - Year 2018, Vol 611, Issue 2
Abstract
The main problem in the diagnostics of scapho-lunate ligament injury is the relative rare detailed clinical and radiologic picture, the lack of information and pronounced dissonance between anatomic types if injuries and clinical symptoms. Methods: we examined 63 patients (47 men, 16 female, average age 34.4 years) who had surgery treatment because of scapho-lunate ligament injury. We assessed the informative (sensitivity/specificity) of clinical signs and data obtained with X-ray, computer tomography, magnetic resonance investigation and ultrasound. Results: in the basis of scapho-lunate ligament injury lies the progressive instability with extensor contracture and degenerative changes in radial joint. The diagnostics of the early stages of ligament injury is based on anamnesis morbid and quite sensitive clinical tests: Watson — 96 %, scapho-lunate displacement — 53 %, «flexed wrist-extension fingers» — 75 %. But because of their low specificity (4–6 %) additional methods of examination are needed — X-ray, computer tomography, magnetic resonance investigation, ultrasound. Conclusions: for those injuries which accompined with static instability we use X-ray or computer tomography in order to identify such signs as «Terry Thomas» symptom, «ring», scaphoid shortening. Their sensitivity at the IV–VI stages is almost 100 %. In cases of I–III stages of ligament injury the most specificity is magnetic resonance investigation study. Ultrasound is high informative at ligament injury and carpal instability, but it does not give the full picture of disorganization of wrist joint, it does not give opportunity to divide the stage of injury and choose the method of treatment, so it can be as additional method of examination
Authors and Affiliations
Sergey Strafun, Katerina Radchenko
Keywords
Related Articles
- EP ID EP574261
- DOI 10.15674/0030-59872018249-56
- Views 176
- Downloads 0
Effect of bone canal widening after anterior cruciate ligament reconstruction [Эффект расширения костных каналов после реконструкции передней крестообразной связки]
One of the complications after anterior cruciate ligament reconstruction is widening of bone canals after surgery, it can lead to slow integration of the graft with bone, promotion of secondary instability and revision r...
Stress-strain analysis of trochanteric fracture models by Evans type 2 after total hip replacement [Напружено-деформований стан моделей вертлюгових переломів стегнової кістки типу 2 за Евансом після ендопротезування]
A proximal femoral fracture in elderly and senile age is complex medical and social problem. Author’s method of treatment includes cemented bipolar hemiarthroplasty with augmentation, K-wires and/or sterclage fixation. F...
Analysis of surgical treatment of tibial fractures fractures during the antiterrorist operation
Objective: To analyze the surgical procedures performed at all levels of medical care in the wounded with gunshot fractures of the tibia and severed limbs during the anti-terrorist operation (ATO). Methods:it is analyze...
Antimicrobial peculiarities of modified magnesium alloy in vitro [Антибактериальные свойства модифицированного магниевого сплава in vitro]
Infection complications after osteosynthesis happen in 5,3–75,4 % of cases, among them posttraumatic osteomyelitis — in 3–24 % after open and 1–7 % — after surgery of closed fractures. The main infectious agents of surgi...
The strength of bone-metal block for different types of implants surfaces under the conditions of normal bone and osteoporosis in rats
Fixing the acetabular component of prosthesis in the conditions of osteoporosis and changes in acetabulum anatomy is an actual problem of modern orthopedics. The goal: to perform a comparative analysis of the strength o...