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Scapholunate dissociation

Patterson RAP - MedPix

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Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Scapholunate dissociation

History: 46 y/o African American male presents with bilateral wrist pain right>left. Patient states that approximately one year ago he fell from a height of 10 feet onto bilateral outstretched hands. Patient had immediate pain to both wrists without deformity. Patient did not seek medical attention at that time and finished his work day. Since that incident he has had increasingly severe bilateral wrist pain only alleviated by rest rest and non-steroidal anti-inflammatory medications. The patient is otherwise well.

Findings: Standard wrist radiographs show an approximately 5mm of widening between the scaphoid and lunate. No apparent scaphoid fracture. Lateral radiograph does not show volar or dorsal intercalated segmental instability. No evidence of distal radioulnar joint disruption. No evidence of early osteoarthritis.

Ddx: Scapholunate dissociation on the radiographs Clinically differential dx includes scaphoid fracture, tear of scapholunate ligament, distal radial fracture

Dxhow: Radiographically

Exam: Positive tenderness to palpation in bilateral snuffbox regions. Positive Watson’s test bilaterally

No MeSH data available.


Lateral radiograph of the wrist does not show volar or dorsal intercalated segmental instability.
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MPX1444_synpic24314: Lateral radiograph of the wrist does not show volar or dorsal intercalated segmental instability.


Scapholunate dissociation

Patterson RAP - MedPix

Lateral radiograph of the wrist does not show volar or dorsal intercalated segmental instability.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1444&req=5

MPX1444_synpic24314: Lateral radiograph of the wrist does not show volar or dorsal intercalated segmental instability.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Scapholunate dissociation

History: 46 y/o African American male presents with bilateral wrist pain right>left. Patient states that approximately one year ago he fell from a height of 10 feet onto bilateral outstretched hands. Patient had immediate pain to both wrists without deformity. Patient did not seek medical attention at that time and finished his work day. Since that incident he has had increasingly severe bilateral wrist pain only alleviated by rest rest and non-steroidal anti-inflammatory medications. The patient is otherwise well.

Findings: Standard wrist radiographs show an approximately 5mm of widening between the scaphoid and lunate. No apparent scaphoid fracture. Lateral radiograph does not show volar or dorsal intercalated segmental instability. No evidence of distal radioulnar joint disruption. No evidence of early osteoarthritis.

Ddx: Scapholunate dissociation on the radiographs Clinically differential dx includes scaphoid fracture, tear of scapholunate ligament, distal radial fracture

Dxhow: Radiographically

Exam: Positive tenderness to palpation in bilateral snuffbox regions. Positive Watson’s test bilaterally

No MeSH data available.