Carpal Instability in the Weight-Bearing Upper Extremity

The prevalence of carpal instability in a paraplegic population was investigated to establish an association between chronic repetitive stress on the wrist and the development of such instability. Nine of 162 paraplegic patients had static carpal instability and no history of an acute injury of the...

Full description

Saved in:
Bibliographic Details
Published in:Journal of bone and joint surgery. American volume 1996-12, Vol.78 (12), p.1838-43
Main Authors: SCHROER, WILLIAM, LACEY, STEPHEN, FROST, FREDERICH S, KEITH, MICHAEL W
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Carpal Bones
Cumulative Trauma Disorders - complications
Diseases of the osteoarticular system
Humans
Joint Instability - diagnostic imaging
Joint Instability - etiology
Medical sciences
Middle Aged
Miscellaneous. Osteoarticular involvement in other diseases
Paraplegia - complications
Radiography
Radius - diagnostic imaging
Spinal Cord Injuries - complications
Weight-Bearing
Wrist Joint - diagnostic imaging
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The prevalence of carpal instability in a paraplegic population was investigated to establish an association between chronic repetitive stress on the wrist and the development of such instability. Nine of 162 paraplegic patients had static carpal instability and no history of an acute injury of the wrist. The predominant pattern of instability, found in eleven wrists (six patients), was non-dissociative volar intercalated segmental instability. The prevalence of carpal instability increased with the duration of weight-bearing on the upper extremity. Eighteen per cent of the patients in whom the spinal cord injury had occurred more than twenty years before the study had carpal instability. Carpal instability in these weight-bearing upper extremities and the increase in its prevalence with the duration of the forces across the wrist demonstrate an association between chronic repetitive stress on the wrist and carpal instability.
ISSN:0021-9355
1535-1386
DOI:10.2106/00004623-199612000-00006