Beware the sprained wrist. The incidence and diagnosis of scapholunate instability.
نویسنده
چکیده
A consecutive series of 100 cases of wrist injury, other than those referred with a radial fracture, have been reviewed to determine the incidence of acute scapholunate instability; a "clenched fist" radiograph was used in addition to the routine scaphoid views. Of 19 patients with an increase in the scapholunate gap, five were eventually considered to have significant scapholunate instability, two in association with Colles' fractures. Injuries producing significant ligamentous damage and carpal instability may be as common as scaphoid fractures. They require special consideration in diagnosis and management.
منابع مشابه
Injuries initially misdiagnosed as sprained wrist (beware the sprained wrist).
OBJECTIVES To describe the injuries misdiagnosed as a sprain of the wrist and to determine the approximate incidence of misdiagnosis in patients diagnosed as having a sprain of the wrist. METHODS All diagnostic errors in an accident and emergency (A&E) department were noted on a computerised database. Injuries initially misdiagnosed as wrist sprain are described and compared with the number o...
متن کاملبررسی اندکسهای رادیوگرافیک مچ دست در بیثباتیهای این مفصل
Background & Aim: In radiographic evaluation of carpal instability, the standard method has been the measurement of a series of angles and the new triangulation ratio on lateral wrist radiograms. This study was undertaken to compare these indices in normal and unstable joints. Patients and Methods: Nineteen normal wrist radiograms along with 21 with plamar and 19 with dorsal instability pat...
متن کاملDorsal wrist capsular tears in association with scapholunate instability: results of an arthroscopic dorsal capsuloplasty.
Purpose The purpose of this study is to report the association of dorsal wrist capsular avulsion with scapholunate ligament instability and to evaluate the results of an arthroscopy-assisted repair. Methods We retrospectively reviewed 10 patients with a mean age of 39.1 years suffering from chronic dorsal wrist pain. They underwent a wrist arthroscopy with an evaluation of the scapholunate liga...
متن کاملScapholunate Instability: Current Concepts in Diagnosis and Management
Injuries to the scapholunate joint [SLJ] are the most frequent cause of carpal instability and account for a considerable degree of wrist dysfunction. It is insufficient to cause abnormal carpal posture or collapse on static radiographs, an isolated injury to the scapholunate interosseous ligament may cause progression to abnormal joint mechanics, cartilage wear, and degenerative changes. Inter...
متن کاملProposition of a new classification for scapholunate instability.
UNLABELLED Scapholunate (SL) instability is the most common pattern of instabilities in the wrist. If untreated or undiagnosed, it may lead to degenerative changes with SLAC (scapholunate advanced collapse) wrist. There are a few of of well-known SL instability classifications. The one that takes into account a dynamic or static nature of SL instability is the most accepted and used. The arthro...
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عنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 70 2 شماره
صفحات -
تاریخ انتشار 1988