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Treatment of Carpal Instability and Distal Radioulnar Joint Instability
David Meng Kiat Tan1, Jin Xi Lim1
1Department of Hand and Reconstructive Microsurgery, National University Hospital Singapore, 1E Kent Ridge Road, Tower Block, Level 11, Singapore 119228, Singapore.
Clinics in Plastic Surgery
|May 20, 2019
Summary
Carpal instability and distal radioulnar joint instability cause wrist pain and disability due to ligament damage or fractures. Proper assessment, staging, and treatment are crucial for managing these conditions effectively.
Area of Science:
- Orthopedics
- Hand Surgery
- Musculoskeletal Disorders
Background:
- Carpal instability and distal radioulnar joint instability are significant causes of wrist pain and functional limitation.
- These conditions often result from ligamentous failure, articular incongruity due to fractures, or a combination of both.
- Accurate diagnosis and staging are essential for effective management.
Purpose of the Study:
- To provide a comprehensive overview of carpal instability and distal radioulnar joint instability for hand surgeons.
- To emphasize the equal importance of assessment, diagnosis, staging, and treatment strategies.
- To review the 3 most common carpal instability conditions and acute/chronic distal radioulnar joint instability.
Main Methods:
- Clinical diagnosis supported by imaging modalities.
- Consideration of stage, severity, etiology, and chronicity for treatment planning.
- Review of common carpal instability conditions and distal radioulnar joint instability.
Main Results:
- Instability is a clinical diagnosis aided by imaging.
- Optimal treatment depends on a thorough evaluation of the condition's characteristics.
- The article details common carpal instabilities and distal radioulnar joint issues.
Conclusions:
- Effective management of carpal and distal radioulnar joint instability requires a staged approach.
- Understanding the etiology and chronicity is key to successful treatment outcomes.
- This review offers valuable insights for hand surgeons managing wrist instability.
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