Search this website
Bryan Ming, MD
Midcarpal Instability: A Comprehensive Review and Update.
Hand Clin. 2015 Aug;31(3):487-93
Authors: Niacaris T, Ming BW, Lichtman DM
Midcarpal instability has been well described as a clinical entity but the pathokinematics and pathologic anatomy continue to be poorly understood. This article presents a comprehensive review of the existing knowledge and literature-based evidence for the diagnosis and management of the various entities comprising midcarpal instability. It discusses the limitations of the current understanding of midcarpal instability and proposes new directions for furthering knowledge of the causes and treatment of midcarpal instability and wrist pathomechanics in general.
PMID: 26205710 [PubMed - indexed for MEDLINE]
Surgical Techniques for the Management of Midcarpal Instability.
J Wrist Surg. 2014 Aug;3(3):171-4
Authors: Ming BW, Niacaris T, Lichtman DM
Palmar midcarpal instability (PMCI) is an uncommon and poorly understood disorder. Its etiology is believed to be due to traumatic or congenital laxity of the ligaments (volar and dorsal) that stabilize the proximal row. This laxity results in hypermobility of the proximal carpal row and unphysiologic coupling of the midcarpal joint. Clinically, the condition is manifested by a painful clunk with ulnar and radial wrist deviation. The purpose of this article is to chronicle our personal experience with this condition and to review our current treatment recommendations and outcomes.
PMID: 27054049 [PubMed]