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Minerva Ortopedica e Traumatologica 2009 April;60(2):105-18

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Carpal instability: an update on a complex spectrum of injury

Pike J. M. 1, Goel D. 1, Grewal R. 2

1 Clinical Fellow, Hand and Upper Limb Centre St Joseph’s Health Care, London, ON, Canada 2 Division of Orthopedic Surgery University of Western Ontario Hand and Upper Limb Center St Joseph’s Health Care, London ON, Canada


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Acute carpal instability can present a difficult management problem for the surgeon. Our knowledge of carpal instability has improved, primarily as a result of an improved understanding of wrist anatomy, biomechanics, and the postulated pathomechanics of the common instability patterns. This review will discuss the prevailing understanding of carpal instability, with an emphasis on the commonly encountered patterns- isolated scapholunate injuries, perilunate injuries, and lunotriquetral injuries.

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