Veckans FOAM #6 – Handskador – SWESEMjr
DISSOCIATION - svensk översättning - bab.la engelskt
Direct-access outpatient physical therapy evaluation was performed 24 hours after the injury. Scapholunate (SL) instability is the most common dissociative carpal instability condition. It is the most frequent cause of wrist osteoarthritis, defined as scapholunate advanced collapse or SLAC wrist. Familiarity with the SL ligament complex is required to understand the various features of SL instability. The Terry-Thomas sign refers to an increase in the scapholunate space on an AP radiograph of the wrist (or coronal CT). The increased distance indicates scapholunate dissociation (often with rotary subluxation of the scaphoid) due to ligamentous injury.
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10 fresh-frozen, finger-amputated wrists with sectioned SL ligaments from 3 male and 2 female cadavers were tested. The change of SL angle, SL dissociation, and the load to failure of the 5 different Kirschner wire fixation techniques (using 1.4-mm Scapholunate (SL) dissociation is part of a spectrum of traumatic carpal bone instabilities and is defined as disruption of the ligamentous complex holding the scaphoid and lunate together. 1 The SL ligament complex consists of the volar, dorsal, and intermediate components, with the dorsal component being the strongest and primary stabilizer of the SL joint. 2 SL dissociation often results 17.5 Open Treatment of Acute and Subacute Scapholunate Ligament Injury and Dissociation. Partial injuries are not best treated by open surgery. Treatment options are instead arthroscopic debridement or thermal shrinkage, pinning, or physiotherapy with re-education of the FCR. Acute total injuries are preferably treated within 4 to 6 weeks. 2.
Klinisk prövning på Radie; Dislokation Distal: dynamisk
J Hand Surg. Am. 2006;31(1):125-34.
: Handled frakt. Distal radie, ulna och carpal Frakturer 2021
A person who experiences pain in the back of the wrist or the thumb side of the wrist (following a fall) should be examined for scapho-lunate dissociation. Definition. Ruptur av det interosseösa ligamentet mellan scaphoideum och lunatum (SL-ligamentet), vilket medför att scaphoideum tippar volart och lunatum dorsalt. The scapholunate joint is essential to carpal function. A scapholunate dissociation (SLD), which progresses through several stages, finally ends as a perilunate dislocation. The injury can be completely ligamentous or can be a combined fracture and ligamentous injury. SLD is one of the most common types of carpal instability.
Correspondence Abhimanyu Ved Department of Trauma and Orthopaedics, Wrexham Maelor
This pattern of ulnar translocation, in reality, represents a severe form of scapholunate dissociation and carries a worse prognosis. 19 Figure 19: T1-weighted coronal image demonstrates ulnar translocation of only the lunate (L) and triquetrum (T) bones [radsource.us]
Scapholunate dissociation Power Point 1. 46yo male presents with chief complaint of left wrist pain.
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Early clinical and radiological presentation may be There is an intra-articular radial styloid fracture. Importantly, there is widening of the scapholunate distance (Terry Thomas sign) consistent with scapholunate dissociation.
114; Common Extensor Tenosynovitis p. 115; Scapholunate Dissociation p. 116; TFCC Tear p.
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Rapporterade fall • Handledsskador - LookForDiagnosis
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Handledens ligamentskador – diagnostik - Läkartidningen
The injury can be completely ligamentous or can be a combined fracture and ligamentous injury.