Lunotriquetral Ligament: Difference between revisions

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<div class="editorbox"> '''Original Editor '''- [[User:Rachael Lowe |Rachael Lowe ]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div>


== Expert Opinion ==
== Description ==
The lunotriquetral joint is stabilized by the lunotriquetral ligament (LTL), a C-shaped ligament that has three components - dorsal, volar and proximal<ref name=":1">Beeker RW, Rehman UH (2022). [https://europepmc.org/article/NBK/nbk557729#free-full-text Carpal Ligament Instability].</ref><ref name=":0">Moser T, Khoury V, Harris PG, Bureau NJ, Cardinal E, Dosch JC. [https://www.researchgate.net/profile/Viviane-Khoury/publication/24033434_MDCT_Arthrography_or_MR_Arthrography_for_Imaging_the_Wrist_Joint/links/5675834308aebcdda0e46bdb/MDCT-Arthrography-or-MR-Arthrography-for-Imaging-the-Wrist-Joint.pdf MDCT arthrography or MR arthrography for imaging the wrist joint?]. InSeminars in musculoskeletal radiology 2009 Mar (Vol. 13, No. 01, pp. 039-054). © Thieme Medical Publishers.</ref><ref name=":2">Van de Grift TC, Ritt MJ. [https://www.researchgate.net/publication/280135371_Management_of_lunotriquetral_instability_A_review_of_the_literature Management of lunotriquetral instability: a review of the literature]. Journal of Hand Surgery (European Volume). 2016 Jan;41(1):72-85.</ref>. It, together with the scapholunate ligament, are the most important wrist interosseous [[Ligament|ligaments]] because they join the proximal surfaces of the proximal carpal row<ref name=":0" />. The volar and dorsal portions are considered true ligaments where the proximal portions are fibrocartilaginous membranes<ref name=":0" />. These proximal portions play no mechanical role<ref name=":0" />. The volar portion is the strongest and most important<ref name=":0" /><ref>Kang SH, Chae S, Kim J, Lee J, Park IJ. [https://journals.lww.com/md-journal/Fulltext/2021/09240/Scapholunate_and_lunotriquetral_interosseous.4.aspx Scapholunate and lunotriquetral interosseous ligament augmentation with internal bracing in perilunate dislocation]. Medicine. 2021 Sep 9;100(38).</ref>. Compared to [[Scapholunate Dissociation|scapholunate instability]], lunotriquetral instability is less common<ref name=":0" />. The triquetrum and it's ligaments are important for proprioception for neuromuscular wrist stabilization<ref name=":2" />.


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== Attachments ==
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Proximal attachment: distal lunate and [[Triangular Fibrocartilage Complex Injuries|triangular fibrocartilage]]<ref name=":3">Henry Knipe, 2022, ''Lunotriquetral ligament'', Radiopedia, viewed 20/12/22, https://radiopaedia.org/articles/lunotriquetral-ligament?lang=us</ref>
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Link to Expert<br>  


|-
Distal attachment: medial margin for the triquetrum<ref name=":3" />
| style="color: rgb(0, 0, 0);" | If you would like to be the expert on this page, please [[Contact|contact us]].<br>
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<br>
== Function ==


== Clinically Relevant Anatomy<br> ==
Dorsal portion: limits dorsiflexion between the lunate and triquetrum<ref name=":3" />.


add text here relating to '''''clinically relevant''''' anatomy of the condition<br>  
Volar portion: largely contributes to carpal stability and also limits triquetral extension<ref name=":3" />.
== Mechanism of Injury / Pathological Process ==


== Mechanism of Injury / Pathological Process<br>  ==
Isolated LTL injuries can occur when a person falls onto an outstretched arm<ref name=":1" /><ref name=":0" /> while the wrist is in radial deviation and extension<ref name=":1" />. Repetitive stress can also lead to a LTL injury<ref name=":0" />. For more information regarding LTL injury and lunotriquetral dissociation, please see the [[lunotriquetral dissociation]] page.
 
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== Clinical Presentation  ==
 
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== Diagnostic Procedures  ==
 
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== Management / Interventions<br> ==
 
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== Differential Diagnosis<br> ==
 
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== Key Evidence  ==
 
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== Resources <br>  ==
 
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== Case Studies  ==
 
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== References  ==
== References  ==
 
<references />
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[[Category:Ligaments]]
 
[[Category:Sports Injuries]]
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[[Category:Wrist - Anatomy]]
 
[[Category:Hand - Anatomy]]
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Latest revision as of 15:15, 20 December 2022

Original Editor - Rachael Lowe Top Contributors - Rachael Lowe, Wendy Snyders, Admin and Rishika Babburu

Description[edit | edit source]

The lunotriquetral joint is stabilized by the lunotriquetral ligament (LTL), a C-shaped ligament that has three components - dorsal, volar and proximal[1][2][3]. It, together with the scapholunate ligament, are the most important wrist interosseous ligaments because they join the proximal surfaces of the proximal carpal row[2]. The volar and dorsal portions are considered true ligaments where the proximal portions are fibrocartilaginous membranes[2]. These proximal portions play no mechanical role[2]. The volar portion is the strongest and most important[2][4]. Compared to scapholunate instability, lunotriquetral instability is less common[2]. The triquetrum and it's ligaments are important for proprioception for neuromuscular wrist stabilization[3].

Attachments[edit | edit source]

Proximal attachment: distal lunate and triangular fibrocartilage[5]

Distal attachment: medial margin for the triquetrum[5]

Function[edit | edit source]

Dorsal portion: limits dorsiflexion between the lunate and triquetrum[5].

Volar portion: largely contributes to carpal stability and also limits triquetral extension[5].

Mechanism of Injury / Pathological Process[edit | edit source]

Isolated LTL injuries can occur when a person falls onto an outstretched arm[1][2] while the wrist is in radial deviation and extension[1]. Repetitive stress can also lead to a LTL injury[2]. For more information regarding LTL injury and lunotriquetral dissociation, please see the lunotriquetral dissociation page.

References[edit | edit source]

  1. ↑ 1.0 1.1 1.2 Beeker RW, Rehman UH (2022). Carpal Ligament Instability.
  2. ↑ 2.0 2.1 2.2 2.3 2.4 2.5 2.6 2.7 Moser T, Khoury V, Harris PG, Bureau NJ, Cardinal E, Dosch JC. MDCT arthrography or MR arthrography for imaging the wrist joint?. InSeminars in musculoskeletal radiology 2009 Mar (Vol. 13, No. 01, pp. 039-054). © Thieme Medical Publishers.
  3. ↑ 3.0 3.1 Van de Grift TC, Ritt MJ. Management of lunotriquetral instability: a review of the literature. Journal of Hand Surgery (European Volume). 2016 Jan;41(1):72-85.
  4. ↑ Kang SH, Chae S, Kim J, Lee J, Park IJ. Scapholunate and lunotriquetral interosseous ligament augmentation with internal bracing in perilunate dislocation. Medicine. 2021 Sep 9;100(38).
  5. ↑ 5.0 5.1 5.2 5.3 Henry Knipe, 2022, Lunotriquetral ligament, Radiopedia, viewed 20/12/22, https://radiopaedia.org/articles/lunotriquetral-ligament?lang=us
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