LT Ligament Tears.

Hand Clin · Nov 2021 · Review

Faucher GK, Moody MC

Division of Hand Surgery, University of South Carolina School of Medicine Greenville, Prisma Health-Upstate

Hand & Upper Extremity

SUMMARY — THE REDUCTIONLunotriquetral ligament tears cause ulnar wrist pain and are best confirmed arthroscopically; most cases respond to conservative treatment, with surgical options guided by acuity and severity.
Abstract, as published

Lunotriquetral (LT) ligament injuries are uncommon, however, should be considered in patients with ulnar-sided wrist pain. LT injuries are often associated with other injuries but can occur in isolation. Understanding the anatomy and pathomechanics will aid in making the diagnosis. Similar to other injuries, a thorough history and focused physical examination is critical. Radiographs may show normal findings; however, advanced imaging can support the diagnosis. Arthroscopy remains the gold standard for diagnosis. Most patients do well with conservative management; however, injury acuity and severity will direct surgical management. Anatomy, pathophysiology, and treatment options are discussed.

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