Carpal Instability

Paper Summary:

This paper discusses wrist or carpal instability and its treatment options. It explores and evaluates existing treatments and then discusses new treatments options. The paper review various articles and analyzes the treatments' proven results and discusses the implications of these methods and how they are leading us towards a greater understanding and management of the condition of carpal instability.

Table of Contents:
Introduction
Literature Review
Discussion
Conclusion

From the Paper:

"Grivissis and team favored the use of open reduction and K-wire fixtation for carpal dislocation despite potential risks of late carpal disability. Takase and team, on the other hand, found that the use of percutaneous pin fixation and K-wire resulted in subluxation of the radio-carpal joint, decreased grip strength and limited the range of motion. Kreder and his team preferred indirect reduction and percutaneous fixation for faster recovery and superior functional outcome after a year. Jakob found internal fixation and early function to produce excellent results but the procedure is a demanding technique. Pinal recommended the limited combined approach for nonunion and rigid fixation without adverse effects. Carter provided evidence of excellence results in the use of Sauva-Kapankji procedure for restoring forearm distal radio-ulnar joint, especially in older patients. Shih and team discovered that TFCC reconstruction with partial ECU and ulnar shortening would be preferable to TFCC tears with distal radioulnar joint instability.Hambridge recommended immobilization of the wrist with acute fractures using Colles' cast with the wrist at a 20-dgree extension. And Grechenig and Doets and their teams agreed that arthrodesis would be the choice of mode for chronic wrist pain and wrist diseases, respectively."

Sample of Sources Used:

• Atkinson, Larry S. et al. Scapholunate Dissociation. American Family Physician: American Academy of Family Physicians, June 1994
• Berdia, Sunjay and Shin, Alexander Y. Carpal Ligament Instability. Orthopedic Surgery. WebMD. eMedicine.Com, Inc., November 22, 2005.
• Bozentka, David J. Scapholunate Instability. UPOJ. Vol 12, Spring 1999
• Carter, P. B. and P R Stuart. The Sauva-Kapankji Procedure for Post-Traumatic Disorders of the Distal Radio-Ulnar Joint. Journal of Bone and Joint Surgery: British Editorial Society of Bone and Joint Surgery, September 2000
• Cooney, William P., et al. Post-Traumatic Arthritis of the Wrist. The Library of Congress: Mosby-Year Book, Inc., 1998

More papers on Carpal Instability:

• Term Paper # 71378 : "Carpal Tunnel Syndrome"
• Research Paper # 92820 : "Carpal Tunnel Syndrome"
• Essay # 66536 : "Carpal Tunnel Syndrome"

APA Citation:

MLA Citation: