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What Should Physiotherapist Know about Carpal Instability?


Authors: P. Dráč;  P. Maňák
Authors‘ workplace: Katedra fyzioterapie FTK UP Olomouc vedoucí prof. MUDr. J. Opavský, CSc. ;  Traumatologické oddělení FN Olomouc primář doc. MUDr. I. Čižmář, Ph. D.
Published in: Rehabil. fyz. Lék., 20, 2013, No. 2, pp. 58-63.
Category: Original Papers

Overview

Carpal instability represents a heterogenic group of wrist injuries considering the extent of the injury, degree of damage and variability of symptomatology. They can be often unrecognited at the beginning – e.g. in the therapy of simultaneous fracture of distant end of radius. It is often the physiotherapist who primarily draws attention to complaints that become manifest in the course of the patient’s rehabilitation after fracture of the distal radius, secaphoid, or treated for vague diagnosis of the wrist distortion which are caused by wrist instability. The establishment of diagnosis may be based on clinical tests, radiologic examination including stress images, magnetic resonance or wrist arthroscopy. An early and precise classification of the injury makes it possible to select a suitable therapeutic procedure and accordingly improve the chance for favorable clinical results.

Keywords:
carpal instability, scapholunate ligament, lunotriquetral ligament, injury classification, clinical tests


Sources

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Labels
Physiotherapist, university degree Rehabilitation Sports medicine

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Rehabilitation and Physical Medicine

Issue 2

2013 Issue 2

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