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Related Concept Videos

Muscles of the Forearm that Move the Hand and Fingers01:16

Muscles of the Forearm that Move the Hand and Fingers

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The muscles of the forearm that move the wrist, hand, and digits are numerous and diverse. They can be classified into two groups based on their location and function — the anterior and posterior compartment muscles.
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
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Metacarpal Small Incision for Carpal Tunnel Syndrome
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Post-traumatic carpal instability.

C Chantelot1

  • 1Service de traumatologie, SOS Main du Nord-Pas-de-Calais, hôpital Roger-Salengro, CHRU de Lille, rue Émile-Laine, 59000 Lille, France.

Orthopaedics & Traumatology, Surgery & Research : OTSR
|January 28, 2014
PubMed
Summary
This summary is machine-generated.

Carpal injuries like dislocations and fractures cause wrist pain and weakness. Early diagnosis and treatment, including arthroscopy, are crucial for effective ligament repair and preserving wrist function, avoiding future arthritis.

Keywords:
ArthritisCarpalInstability

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Area of Science:

  • Orthopedic Surgery
  • Hand and Wrist Surgery

Background:

  • Carpal injuries, including perilunate and scapholunate dislocations and scaphoid fractures, are complex to treat.
  • Delayed diagnosis of ligament injuries, especially beyond six weeks, renders surgical repair ineffective and can lead to degenerative osteoarthritis.

Purpose of the Study:

  • To highlight the challenges in treating carpal injuries.
  • To emphasize the importance of timely diagnosis and treatment for ligament injuries.
  • To discuss advancements in surgical techniques, particularly arthroscopy, for managing carpal injuries and preserving wrist function.

Main Methods:

  • Review of common carpal lesions and their treatment challenges.
  • Discussion of the impact of delayed diagnosis on treatment outcomes.
  • Exploration of modern surgical interventions, including arthroscopy, for acute and chronic carpal ligament injuries.

Main Results:

  • Carpal injuries often present with pain and loss of wrist strength.
  • Late diagnosis (over 6 weeks) significantly reduces the effectiveness of ligament repair.
  • Arthroscopy has improved the understanding and treatment of carpal injuries, offering a promising approach for ligament repair without osteoarthritis.

Conclusions:

  • Early diagnosis and treatment are vital for successful outcomes in carpal ligament injuries.
  • Arthroscopy represents a significant advancement in managing carpal injuries, offering a potential future treatment, especially for acute or chronic cases without osteoarthritis.
  • While promising, arthroscopic techniques require further validation and a substantial learning curve.