Lunotriquetral Injuries

Lunotriquetral injury is an important consideration in the evaluation of ulnarsided wrist pain. An understanding of the anatomy, kinematics, and pathomechanics of this injury assists in elucidating the diagnosis through history and physical examination. The use of appropriate radiographic imaging may provide additional support for the diagnosis. Arthroscopy has emerged as not only the gold standard for diagnosis of this injury, but also as an effective means of treatment. Treatment decisions must be based on both the degree of severity and acuity of the injury. Although the majority of patients will do well with nonoperative management, the indications for surgery and the varied outcomes of surgical management are discussed. Copyright © 2002 by the American Society for Surgery of the Hand