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Abstract

[Indexed for MEDLINE] 4. Hand Clin. 2023 Aug;39(3):367-377. doi: 10.1016/j.hcl.2023.03.002. Epub 2023 May 11. Management of Complex Hand and Wrist Ligament Injuries. Langdell HC(1), Zhang GX(2), Pidgeon TS(2), Ruch DS(1), Klifto CS(2), Mithani SK(3). Author information: (1)Division of Plastic and Reconstructive Surgery, Duke University Medical Center, Durham, NC, USA. (2)Department of Orthopedic Surgery, Duke University Medical Center, Durham, NC, USA. (3)Division of Plastic and Reconstructive Surgery, Duke University Medical Center, Durham, NC, USA; Department of Orthopedic Surgery, Duke University Medical Center, Durham, NC, USA. Electronic address: suhail.mithani@duke.edu. Ligamentous injuries in the hand and wrist are often underdiagnosed and can present with significant functional limitations if there is untimely recognition of injury. Adequate repair or reconstruction is critical in restoring joint stability and mobility. The purpose of this review is to provide an overview of the metacarpophalangeal joint, scapholunate interosseous ligament (SLIL), and non-SLIL carpal ligament anatomy, diagnosis, imaging, treatment consideration and options, as well as surgical techniques encompassing repair, reconstruction, and fusion. Copyright © 2023 Elsevier Inc. All rights reserved. DOI: 10.1016/j.hcl.2023.03.002