Scapholunate dissociation - Revision history

Josgood: /* Imaging */

2019-07-06T06:29:00Z

Imaging

← Revisión anterior		Revisión del 06:29 6 jul 2019
Línea 15:		Línea 15:
	*Any of the following signs may be seen:		*Any of the following signs may be seen:
	**Widening of the scapholunate joint space >3mm		**Widening of the scapholunate joint space >3mm
	***~~Know~~ as Terry-Thomas sign (or David Letterman sign)		***Known as Terry-Thomas sign (or David Letterman sign)
	**Rotary subluxation of the scaphoid		**Rotary subluxation of the scaphoid
	***Lateral view: Scapholunate angle >60 degrees		***Lateral view: Scapholunate angle >60 degrees

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-25T02:24:16Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Revisión anterior		Revisión del 02:24 25 jul 2016
Línea 8:		Línea 8:
	*"Clicking" sensation with wrist movement		*"Clicking" sensation with wrist movement

	==~~Diagnosis~~==		==Evaluation==
	===Imaging===		===Imaging===
	[[File:Scapholunate Dissociation.jpg\|thumb\|Black arrow: Scapholunate joint space widening; White arrow: Cortical ring sign]]		[[File:Scapholunate Dissociation.jpg\|thumb\|Black arrow: Scapholunate joint space widening; White arrow: Cortical ring sign]]

Neil.m.young: Text replacement - "followup" to "follow-up"

2016-07-14T02:17:29Z

Text replacement - "followup" to "follow-up"

← Revisión anterior		Revisión del 02:17 14 jul 2016
Línea 33:		Línea 33:

	==Disposition==		==Disposition==
	*Generally outpatient ~~followup~~		*Generally outpatient follow-up

	==References==		==References==

Neil.m.young: Text replacement - "==Treatment==" to "==Management=="

2016-07-08T06:42:35Z

Text replacement - "==Treatment==" to "==Management=="

← Revisión anterior		Revisión del 06:42 8 jul 2016
Línea 28:		Línea 28:
	{{Carpal fractures}}		{{Carpal fractures}}

	==~~Treatment~~==		==Management==
	*[[Radial gutter splint]] or [[forearm volar splint]]		*[[Radial gutter splint]] or [[forearm volar splint]]
	*Ortho referral		*Ortho referral

Neil.m.young: Text replacement - "* " to "*"

2016-07-04T22:50:48Z

Text replacement - "* " to "*"

← Revisión anterior		Revisión del 22:50 4 jul 2016
Línea 1:		Línea 1:
	==Background==		==Background==
	* Caused by rupture of scapholunate ligament		*Caused by rupture of scapholunate ligament
	**Most commonly injured ligament of the wrist		**Most commonly injured ligament of the wrist
	*Injury most commonly occurs from FOOSH		*Injury most commonly occurs from FOOSH
Línea 15:		Línea 15:
	*Any of the following signs may be seen:		*Any of the following signs may be seen:
	**Widening of the scapholunate joint space >3mm		**Widening of the scapholunate joint space >3mm
	*** Know as Terry-Thomas sign (or David Letterman sign)		***Know as Terry-Thomas sign (or David Letterman sign)
	**Rotary subluxation of the scaphoid		**Rotary subluxation of the scaphoid
	***Lateral view: Scapholunate angle >60 degrees		***Lateral view: Scapholunate angle >60 degrees

Neil.m.young: Text replacement - "==Source==" to "==References== "

2016-06-26T08:24:14Z

Text replacement - "==Source==" to "==References== <references/>"

← Revisión anterior		Revisión del 08:24 26 jun 2016
Línea 35:		Línea 35:
	*Generally outpatient followup		*Generally outpatient followup

	==~~Source~~==		==References==
			<references/>

	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Ostermayer: Text replacement - "Category:Ortho" to "Category:Orthopedics"

2016-03-22T15:47:07Z

Text replacement - "Category:Ortho" to "Category:Orthopedics"

← Revisión anterior		Revisión del 15:47 22 mar 2016
Línea 37:		Línea 37:
	==Source==		==Source==

	[[Category:~~Ortho~~]]		[[Category:Orthopedics]]

Rossdonaldson1: /* Diagnosis */

2015-02-18T04:05:55Z

Diagnosis

← Revisión anterior		Revisión del 04:05 18 feb 2015
Línea 9:		Línea 9:

	==Diagnosis==		==Diagnosis==
			===Imaging===
	[[File:Scapholunate Dissociation.jpg\|thumb\|Black arrow: Scapholunate joint space widening; White arrow: Cortical ring sign]]		[[File:Scapholunate Dissociation.jpg\|thumb\|Black arrow: Scapholunate joint space widening; White arrow: Cortical ring sign]]
	[[File:Dorsal_Intercalated_Segment_Instability.jpg\|thumb\|Dorsal intercalated segment instability]]		[[File:Dorsal_Intercalated_Segment_Instability.jpg\|thumb\|Dorsal intercalated segment instability]]

	~~===Imaging===~~
	*A grip compression view or wrist in ulnar deviation may be necessary in addition to PA/lateral views		*A grip compression view or wrist in ulnar deviation may be necessary in addition to PA/lateral views
	*Any of the following signs may be seen:		*Any of the following signs may be seen:

Rossdonaldson1: /* Diagnosis */

2015-02-18T04:05:37Z

Diagnosis

Rossdonaldson1: /* Treatment */

2015-02-18T04:05:04Z

Treatment

← Revisión anterior		Revisión del 04:05 18 feb 2015
Línea 32:		Línea 32:
	*[[Radial gutter splint]] or [[forearm volar splint]]		*[[Radial gutter splint]] or [[forearm volar splint]]
	*Ortho referral		*Ortho referral

			==Disposition==
			*Generally outpatient followup

	==Source==		==Source==

	[[Category:Ortho]]		[[Category:Ortho]]

← Revisión anterior		Revisión del 04:05 18 feb 2015
Línea 12:		Línea 12:
	[[File:Dorsal_Intercalated_Segment_Instability.jpg\|thumb\|Dorsal intercalated segment instability]]		[[File:Dorsal_Intercalated_Segment_Instability.jpg\|thumb\|Dorsal intercalated segment instability]]

	*Imaging		===Imaging===
	**A grip compression view or wrist in ulnar deviation may be necessary in addition to PA/lateral views		*A grip compression view or wrist in ulnar deviation may be necessary in addition to PA/lateral views
	**Any of the following signs may be seen:		*Any of the following signs may be seen:
	***Widening of the scapholunate joint space >3mm		**Widening of the scapholunate joint space >3mm
	**** Know as Terry-Thomas sign (or David Letterman sign)		*** Know as Terry-Thomas sign (or David Letterman sign)
	***Rotary subluxation of the scaphoid		**Rotary subluxation of the scaphoid
	****Lateral view: Scapholunate angle >60 degrees		***Lateral view: Scapholunate angle >60 degrees
	****PA view: Cortical ring sign (circular cortex of the bone is more prominent)		***PA view: Cortical ring sign (circular cortex of the bone is more prominent)
	***Dorsal intercalated segment instability		**Dorsal intercalated segment instability
	****Dorsal angulation of lunate relative to radius resulting in capitolunate angle > 20°		***Dorsal angulation of lunate relative to radius resulting in capitolunate angle > 20°
	****Seen as loss of the normal collinear arrangement of the capitate, lunate, and radius		***Seen as loss of the normal collinear arrangement of the capitate, lunate, and radius

	==Differential Diagnosis==		==Differential Diagnosis==