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An Illistrative Case Of Conservative Therapy For Common Wrist Injury - Page #4
 

Working Diagnosis:
Partial scapholunate ligament tear

Treatment:
Given the diagnosis of partial tearing of the scapholunate liagment without evidence of significant instability, the decision was made for the athlete to undergo conservative treatment consisting of wearing a cock-up wrist splint for eight weeks. He was also treated with NSAIDS, cryotherapy and activity modification.

Outcome:
The patient was able to gradually return to his previous physical activity.

Author's Comments:
The dynamic AP clenched view of the wrist will effectively show scapholunate diastasis and should be ordered when consideration of scapholunate ligament injury(1). <br> <br>Scapholunate dissociation is the most common and most significant ligament injury of the wrist. Non-operative treatment of scapholunate dissociation can only be recommended for dynamic scapholunate instability(2).

References:
1.Indian J Plast Surg. 2011 May-Aug; 44(2): 186–196. <br> <br>2.www.wheelessonline.com/ortho/scapholunate_instability

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