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Diagnosis and Management of Ligament Injuries of the Wrist
Ki Tae Na, Joo Yup Lee
J Korean Fract Soc 2016;29(2):160-170.   Published online April 30, 2016
DOI: https://doi.org/10.12671/jkfs.2016.29.2.160
AbstractAbstract PDF
The wrist joint is formed by the distal end of the radius and ulna proximally, and eight carpal bones distally. It has many ligaments to maintain stability of the complex bony structures. The incidence of ligament injuries of the wrist has increased due to sports activities. However, diagnosis and management of these injuries are sometimes difficult because of the anatomic complexity and variable injury patterns. Among them, scapholunate ligament injury and triangular fibrocartilage tears are the two most common injuries resulting in chronic disabling wrist pain. Thorough understanding of the wrist anatomy and physical and radiologic examination is mandatory for proper diagnosis and management of these conditions. This article will briefly discuss the wrist joint anatomy and biomechanics, and review the diagnosis and management of the scapholunate ligament injury and triangular fibrocartilage injury.
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Biomechanics of the Wrist
Young Ho Shin, Young Ho Lee
J Korean Fract Soc 2016;29(1):93-100.   Published online January 31, 2016
DOI: https://doi.org/10.12671/jkfs.2016.29.1.93
AbstractAbstract PDF
The wrist joint is a complicated structure composed of many bones and ligaments. Therefore, understanding the anatomy and the biomechanics of the wrist is important in order to administer proper treatment for patients. To easily understand the complicated structure, there were many trials to unite the complicated structure with a simple group such as the carpal row concept and the carpal column concept. Movement and load transfer along the wrist joint occurs with balanced action between carpal bones. To evaluate this static equilibrium, measuring tools such as carpal height ratio are used. When wrist flexion/extension occurs, each carpal row moves synchronously with action of the scaphoid. In contrast with flexion/extension, when wrist radial deviation/ulnar deviation occurs, the proximal carpal row moves in the sagittal plane, instead of the coronal plane. Recently, the dart throwing motion which occurred from the position of dorsiflexion with radial deviation to volar flexion with ulnar deviation is considered the main movement of the wrist joint.

Citations

Citations to this article as recorded by  
  • Association between carpal height ratio and ulnar variance in normal wrist radiography
    Anas AR Altamimi, Monther A. Gharaibeh, Muntaser Abu Shokor, Moh’d S. Dawod, Mohammad N. Alswerki, Omar M. Al-Odat, Raghda H. Elkhaldi
    BMC Musculoskeletal Disorders.2024;[Epub]     CrossRef
  • Reliability and concurrent validity of a new iPhone® goniometric application for measuring active wrist range of motion: a cross‐sectional study in asymptomatic subjects
    Mohammad Reza Pourahmadi, Ismail Ebrahimi Takamjani, Javad Sarrafzadeh, Mehrdad Bahramian, Mohammad Ali Mohseni‐Bandpei, Fatemeh Rajabzadeh, Morteza Taghipour
    Journal of Anatomy.2017; 230(3): 484.     CrossRef
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