Matches in SemOpenAlex for { <https://semopenalex.org/work/W4323364134> ?p ?o ?g. }
- W4323364134 endingPage "526" @default.
- W4323364134 startingPage "515" @default.
- W4323364134 abstract "Scapholunate instability (SLI) is the most common carpal instability described. SLI leads to a degenerative arthritic pattern known as scapholunate advanced collapse (SLAC). Diagnosis of SLI can be challenging in pre-dynamic and dynamic stages. CT arthrogram, MR arthrogram and dynamic fluoroscopy are helpful in diagnosis while arthroscopy remains the gold standard. SLI is a multi-ligament injury, which involves not only the scapholunate interosseous ligament (SLIL) but also the extrinsic carpal ligaments. Hence, it is better described as an injury compromising the 'dorsal scapholunate(dSLL) complex'. A repair can be attempted for acute SLI presenting within 6 weeks of injury. Reconstruction is the mainstay of treatment for chronic SLI without degenerative changes. Multiple repair techniques have been described which include capsulodesis and tenodesis procedures. The clinical outcomes of the techniques have improved over the years. However, a common problem of all these techniques is the lack of long-term data on the outcomes and deteriorating radiological parameters over time. SLI staging is an important factor to be considered in choosing the reconstruction techniques for a better outcome. Currently, there is a trend towards more biological and less invasive techniques. Regardless of the technique, it is important to preserve the nerve supply of the dorsal capsuloligamentous structures of the wrist. Arthroscopic techniques being minimally invasive have the advantage of less collateral damage to the capsuloligamentous structures. Rehabilitation involves a team approach where a protected dart thrower's motion is allowed after a period of immobilization. Strengthening SL-friendly muscles and inhibiting SL-unfriendly muscles is a key principle in rehabilitation." @default.
- W4323364134 created "2023-03-08" @default.
- W4323364134 creator A5003740105 @default.
- W4323364134 creator A5025516228 @default.
- W4323364134 creator A5077169085 @default.
- W4323364134 date "2023-03-07" @default.
- W4323364134 modified "2023-09-26" @default.
- W4323364134 title "Current Concepts in Scapholunate Instability Without Arthritic Changes" @default.
- W4323364134 cites W111405068 @default.
- W4323364134 cites W1932802 @default.
- W4323364134 cites W1974237933 @default.
- W4323364134 cites W1979067597 @default.
- W4323364134 cites W1980282287 @default.
- W4323364134 cites W1986144500 @default.
- W4323364134 cites W1986981797 @default.
- W4323364134 cites W1991067841 @default.
- W4323364134 cites W1992798664 @default.
- W4323364134 cites W1995162183 @default.
- W4323364134 cites W2002643060 @default.
- W4323364134 cites W2006077360 @default.
- W4323364134 cites W2008085211 @default.
- W4323364134 cites W2029571896 @default.
- W4323364134 cites W2029826409 @default.
- W4323364134 cites W2030072086 @default.
- W4323364134 cites W2030407203 @default.
- W4323364134 cites W2033353240 @default.
- W4323364134 cites W2034528032 @default.
- W4323364134 cites W2040290115 @default.
- W4323364134 cites W2041680018 @default.
- W4323364134 cites W2042999117 @default.
- W4323364134 cites W2043062976 @default.
- W4323364134 cites W2043296151 @default.
- W4323364134 cites W2044120001 @default.
- W4323364134 cites W2052889295 @default.
- W4323364134 cites W2053055944 @default.
- W4323364134 cites W2057524567 @default.
- W4323364134 cites W2059901899 @default.
- W4323364134 cites W2059933288 @default.
- W4323364134 cites W2070158518 @default.
- W4323364134 cites W2072970305 @default.
- W4323364134 cites W2073101442 @default.
- W4323364134 cites W2074100699 @default.
- W4323364134 cites W2074274626 @default.
- W4323364134 cites W2076286533 @default.
- W4323364134 cites W2081948284 @default.
- W4323364134 cites W2082170753 @default.
- W4323364134 cites W2084773986 @default.
- W4323364134 cites W2086788990 @default.
- W4323364134 cites W2087908595 @default.
- W4323364134 cites W2088602066 @default.
- W4323364134 cites W2088680664 @default.
- W4323364134 cites W2089131536 @default.
- W4323364134 cites W2091605116 @default.
- W4323364134 cites W2098155297 @default.
- W4323364134 cites W2098961587 @default.
- W4323364134 cites W2111412188 @default.
- W4323364134 cites W2124287094 @default.
- W4323364134 cites W2145410560 @default.
- W4323364134 cites W2147399961 @default.
- W4323364134 cites W2151571800 @default.
- W4323364134 cites W2154321147 @default.
- W4323364134 cites W2188081216 @default.
- W4323364134 cites W2192647540 @default.
- W4323364134 cites W22129683 @default.
- W4323364134 cites W2243083019 @default.
- W4323364134 cites W2281169473 @default.
- W4323364134 cites W2291457990 @default.
- W4323364134 cites W2323116241 @default.
- W4323364134 cites W2323354867 @default.
- W4323364134 cites W2408403130 @default.
- W4323364134 cites W2412338815 @default.
- W4323364134 cites W2415114302 @default.
- W4323364134 cites W2417068243 @default.
- W4323364134 cites W2464904677 @default.
- W4323364134 cites W2568289199 @default.
- W4323364134 cites W2608440908 @default.
- W4323364134 cites W2612052433 @default.
- W4323364134 cites W2761801062 @default.
- W4323364134 cites W2764267229 @default.
- W4323364134 cites W2778028214 @default.
- W4323364134 cites W2787286688 @default.
- W4323364134 cites W2887101818 @default.
- W4323364134 cites W2894996374 @default.
- W4323364134 cites W2943458537 @default.
- W4323364134 cites W2957195065 @default.
- W4323364134 cites W2969058761 @default.
- W4323364134 cites W2986885440 @default.
- W4323364134 cites W3024692250 @default.
- W4323364134 cites W3094400138 @default.
- W4323364134 cites W3167692640 @default.
- W4323364134 cites W3184552876 @default.
- W4323364134 cites W3185889046 @default.
- W4323364134 cites W3204759283 @default.
- W4323364134 cites W3212555735 @default.
- W4323364134 cites W3214528545 @default.
- W4323364134 cites W4238550489 @default.
- W4323364134 cites W4253746384 @default.
- W4323364134 cites W4295796203 @default.