Wrist Ligament Injuries
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Questions and Answers

What is the main cause of injury to ligamentous supports of triquetrolunate and midcarpal joints?

  • Supination of the wrist
  • Flexion of the wrist
  • Pronation of the wrist
  • Extension of the wrist (correct)
  • Which side of the wrist does triquetrolunate instability commonly cause pain on?

  • Palmar aspect
  • Radial aspect
  • Ulnar aspect (correct)
  • Dorsal aspect
  • What type of examination is usually diagnostic for triquetrolunate injuries?

  • X-ray examination
  • Ultrasound examination
  • Arthroscopic examination (correct)
  • MRI examination
  • What type of instability is manifested by the laxity of the ulnar arm of the arcuate ligament?

    <p>Palmar instability</p> Signup and view all the answers

    What is the common radiographic finding in patients with midcarpal instability?

    <p>Volar intercalated segmental instability</p> Signup and view all the answers

    Study Notes

    • Axial loading of a hyperextended pronated wrist causes injury to ligamentous supports of triquetrolunate and midcarpal joints.
    • Disruption of ligaments leads to laxity on ulnar side of wrist.
    • Patients with triquetrolunate instability report pain on ulnar aspect of wrist, with or without wrist click in radial and ulnar deviation.
    • Physical examination reveals tenderness over ulnar aspect of wrist in region of triquetrolunate joint.
    • Ballottement of lunotriquetral joint helps diagnose instability.
    • Arthroscopic examination is usually diagnostic for triquetrolunate injuries.
    • Palmar instability in midcarpal region is a manifestation of laxity of ulnar arm of arcuate ligament.
    • Defects in dorsal intercarpal and radiotriquetral ligaments may contribute to static malpositioning.
    • Patients with midcarpal instability have a painful "clunk" with ulnar deviation and pronation of wrist.
    • Radiographic examination usually reveals volar intercalated segmental instability.

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    Description

    Test your knowledge on wrist instability with this informative quiz! Learn about the different types of ligament injuries that can cause wrist instability, their symptoms, and how they are diagnosed. Keywords include axial loading, triquetrolunate instability, midcarpal instability, and radiographic examination. Challenge yourself and see how much you know about this common condition.

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