Dissociation, or dislocation, is classified by the pattern of carpal collapse, either dorsal or volar in nature, after wrist trauma or injury.
The carpal bones in the wrist are stabil...
Determine duration of pain: Most patients present acutely, but some report a history of painful clicking, reduced grip strength, and giving way with activities.
Obtain detailed mechani...
Acute treatment
Analgesia; nonsteroidal anti-inflammatory drugs (NSAIDs), narcotics
Reduction techniques:
Only for least severe injury (e.g., dynamic instability; see above)
Recommended for expe...
Cohen MS. Ligamentous injuries of the wrist in the athlete. Clin Sports Med. 1998;17(3):533–552.
Manuel J, Moran SL. The diagnosis and treatment of scapholunate instability. Or...
Surgery results in ~35% loss of flexion and extension. This should still allow an athlete to return to activity in most cases.
The ligament in the wrist has torn in this injury, and the...
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