Intercarpal ligament injuries associated with fractures of the distal part of the radius.
The ligamentous anatomy of the carpus has been extensively described and is divided into extrinsic and intrinsic structures that link the radius and ulna to the carpus and provide
intercarpal stability, respectively.
PALMAR SURFACE: In the palmar region, with the carpus flexed and the transducer positioned transversely, the palmar
intercarpal ligament (PIL) is observed superficially and just below the skin.
A study in 2015, written by Tamas et al ., performed CEUS in the radiocarpal and
intercarpal joints of the patients with early RA and wrist involvement, demonstrating that the maximum parameters of TIC curves decreased significantly after 6 months' treatment, which had high baseline in the beginning.
Hence we recommend regular serial follow ups with radiographs to anticipate this
intercarpal over-distraction earlier and act accordingly because over-distraction has been implicated in producing stretching to tendons, worse digital motion, poor functional outcomes, and worse strength and pain scores.
FDS is responsible for flexion of multiple joints crossed by its tendons, that is, wrist joints,
intercarpal joints, carpometacarpal joints, metacarpophalangeal joints, and the proximal interphalangeal joints [1].
Furthermore, DECT showed extensive monosodium urate crystals in the
intercarpal and radiocarpal joints with compression overlying the flexor tendons (Figure 1b, c).
Fascia and connective tissue were cleaned off and the distal articular surface was exposed by division of the dorsal
intercarpal ligaments.
Galuppo, "Computed tomographic arthrography of the
intercarpal ligaments of the equine carpus," Veterinary Radiology and Ultrasound, vol.
Next, the PIN continued within the fourth dorsal osseofibrous tunnel between the tendon of the EPL and the lateral part of the El terminating within the dorsal fascia and the dorsal surface of the fibrous capsules of the radiocarpal and
intercarpal joints.
Wrist kinematics after limited
intercarpal arthrodesis.
Treatment modalities range from conservative methods such as immobilization to operative ones such as
intercarpal fusions, excision, partial capitate shortening, implant arthroplasty, ulnar lengthening, radial shortening, and vascularized bone grafting [9-13].