A kinematic study of luno-triquetral dissociations

J Hand Surg Am. 1991 Mar;16(2):355-62. doi: 10.1016/s0363-5023(10)80126-1.

Abstract

An analysis of carpal motion after sectioning the ligamentous support of the luno-triquetral joints was done by use of stereoradiographic methods. The ligaments were sectioned in two stages. In stage I, a complete sectioning of both the dorsal and palmar luno-triquetral ligaments and the interosseous membrane was done. Stage II consisted of further sectioning of both the dorsal radio-triquetral and dorsal scapho-triquetral ligaments. After both stage I and stage II ligament sectioning, all of the intercarpal joints exhibited altered kinematics. The changes were especially marked at the luno-triquetral joint where motion was increased in all planes of wrist motion. The essential lesion in producing a static palmar flexed intercalated segment instability was division of the dorsal radio-triquetral and dorsal scapho-triquetral ligaments in association with the luno-triquetral ligaments and interosseous membrane sectioning.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cadaver
  • Carpal Bones / physiopathology*
  • Humans
  • Joint Instability / physiopathology*
  • Ligaments, Articular / physiopathology*
  • Range of Motion, Articular / physiology
  • Wrist Injuries / physiopathology*