Carpal Instability
Authors:
R. Poděbradská 1,2; J. Calta 5; J. Debre 3; L. Vidláková 4
Authors‘ workplace:
Katedra podpory zdraví FSpS MUNI Brno
1; Rehabilitační ambulance Lipová-lázně
2; Ortopedické oddělení Nemocnice Šumperk
3; Katedra fyzioterapie FTK UP v Olomouci
4; Klinika rehabilitačního lékařství FNKV, Praha
5
Published in:
Rehabil. fyz. Lék., 24, 2017, No. 2, pp. 69-75.
Category:
Original Papers
Overview
The wrist is a complex joint, the kinematics of which has so far not been unambiguously described, also due to the large inter-individual morphological differences leading to countless options of stabilizing patterns. The disorder of the normal wrist mechanics causes carpal bones’ instability, the result of which manifests itself as increased fatigability, tension, chronic pain, and finally also arthritis or degenerative changes. For didactic reasons, there have been several classifications and different concepts of this issue, and multiple means of treatment have been described. The carpal instability etiology is described in literature mostly as the structural damage of the anatomic structures of the wrist, less frequently also as the result of functional disorders, which may also lead to the instability of the wrist. The article summarizes the basic stabilizing principles in the area of the wrist, the knowledge of which represents an important part of conducting an efficient therapy. Further on, there are several basic classifications of carpal instability and the carpal instability as a possible part of the musculoskeletal system functional disorders. At the same time, the basic principles and options of physical therapy in carpal instability are presented.
Keywords:
carpal instability, functional disorders of musculoskeletal system, ligament injuries
Sources
1. BERDIA, S., SHIN, A. Y.: Carpal ligament instability. [online] Medscape. [cit.12.1.2017] Dostupné z: http://emedicine.medscape.com/article/1241610-overview#showall
2. DUNGL, P.: Ortopedie. Praha, Grada Publishing, a.s., 2014.
3. DRÁČ, P., MAŇÁK, P.: Co by měl fyzioterapeut vědět o karpálních nestabilitách? Rehabil. fyz. Lék., roč. 20, 2013, č. 2, s. 58-63.
4. FILLIPO, M. D., SUDBERRY, J. J., LOMBARDO, E., CORRADI, M., POGLIACOMI, F., FERRARI, F. S., BOCCHI, C., ZOMPATORI, M.: Pathogenesis and evolution of carpal instability: imaging and topograpy. Acta Biomed, 77, 2006, s. 168-180.
5. HARRIS, N., STANLEY, D.: Advanced examination techniques in orthopaedics. London, Greenwich Medical Media, 2003.
6. International Federation of Societies for Surgery of the Hand: [online] IFSSH Scientific Commitee Reports: Carpal Instability, Part 1: Definition and Investigations. Haerle, M., Wahegaonkar, A., Garcia-Elias, M., Bain, G., Luchetti, R. Repart submitted May 2016. [cit.12.1.2017]. Dostupné z: http://www.ifssh.info/Carpal_Instability_Part_1_2016_FINAL_Formatted_for_website_and_book.pdf
7. JANDA, V.: Ke vztahům mezi strukturálními a funkčními změnami pohybového systému. Rehabil. fyz. Lék., roč. 6, 1999, č. 1, s. 6-8.
8. KOLÁŘ, P. et al: Rehabilitace v klinické praxi. Praha, Galén, 2009.
9. KAPANJI, I. A.: The physiology of joints. Edinburgh, Churchill Livingstone, 1982.
10. LEWIT, K.: Manipulační léčba, 4. vydání. Leipzig: J. A. Barth Verlag, 1996.
11. MEFANET Report, ISSN 1804-2961. Karolyi, M., Komenda, M., Janoušová, R., Víta, M., Schwarz, D. Finding overlapping terms in medical and health care curriculum using text mining methods: rehabilitation representation – a proof of concept. [cit.12.1.2017]. Dostupné z: http://mj.mefanet.cz/mj-20161227
12. PAPPOU, I. P., BASEL, J., DEAL, D. N.: Scapholunate ligament injuries: a review of current concepts. Hand (N Y), 2013, 8(2), s. 146-156.
13. PILNÝ, J., SLODIČKA, R. a kol.: Chirurgie ruky. Praha, Grada Publishing, a.s., 2011.
14. PILNÝ, J., ŠTĚDRÝ, J., ČERMÁKOVÁ, K., HLAVÁČKOVÁ, E., TALIÁNOVÁ, M.: Diferenciální diagnostika bolestí zápěstí z pohledu ortopeda. Neurológia pre prax, roč. 5, 2014, 15, s. 242-245.
15. PODĚBRADSKÝ, J., PODĚBRADSKÁ, R.: Fyzikální terapie – manuál a algoritmy. Praha, Grada Publishing, a.s., 2009.
16. SCHMITT, R., FROEHNER, S., COBLENZ, G., CHRISTOPOULOS, G.: Carpal instability. Eur Radiol, 16, 2006, s. 2161-2178.
17. TRAVELL, J. G., SIMONS, D. G.: Myofascial pain and dysfunction the trigger point manual the upper extremities. Baltimore, Williams and Wilnins, 1982.
18. VELÉ, F.: Kineziologie: Přehled klinické kineziologie a patokineziologie pro diagnostiku a terapii poruch pohybové soustavy. Praha, Triton, 2006.
19. VOJTA, V., PETERS, A.: Vojtův princip. Překlad 3. Praha, Grada Publishing, a.s., 2010.
Labels
Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2017 Issue 2
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