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219:
26:
198:. A static scapholunate instability is generally readily visible, but a dynamic scapholunate instability can only be seen radiographically in certain wrist positions or under certain loading conditions, such as when clenching the wrist, or loading the wrist in ulnar deviation.
233:
493:
Omori, S; Moritomo, H; Omokawa, S; Murase, T; Sugamoto, K; Yoshikawa, H (July 2013). "In vivo 3-dimensional analysis of dorsal intercalated segment instability deformity secondary to scapholunate dissociation: a preliminary report".
178:
is where the scapholunate ligament is completely ruptured, but secondary scaphoid stabilizers are still preserved; these are the scaphotrapezial (ST), scaphocapitate (SC) and radioscaphocapitate (RSC) ligaments. In a
205:. A fist X-ray of a scapholunate ligament rupture will show a descending capitate bone. Making a fist will give pressure at the capitate, which will descend if there is a rupture in the scapholunate ligament.
201:
In order to diagnose a SLAC wrist you need a posterior anterior (PA) view X-ray, a lateral view X-ray and a fist view X-ray. The fist X-ray is often made if there is no convincing
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Treatment will vary depending upon the degree of injury and can range from observation and direct ligament repair through to reconstruction.
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352:
Tischler, Brian T.; Diaz, Luis E.; Murakami, Akira M.; Roemer, Frank W.; Goud, Ajay R.; Arndt, William F.; Guermazi, Ali (2014).
239:
Dynamic instability: Increased scapholunate distance (between yellow lines) upon ulnar deviation of the wrist, but not otherwise.
218:
1143:
919:
652:
295:
155:
of the scaphoid. In contrast to the scapholunate ligament, the lunotriquetral ligament is more prominent on the palmar side.
116:
194:
images indicate scapholunate ligament instability when the scapholunate distance is more than 3 mm, which is called
1024:
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446:"Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) wrist arthritis"
291:
285:
112:
1043:
264:
1000:
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791:
775:
409:
Berger, R. A. (2001). "The anatomy of the ligaments of the wrist and distal radioulnar joints".
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Eventually, untreated scapholunate instability generally causes a predictable pattern of
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627:(6th ed.). United States of America: President and fellows of Harvard college.
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of this ligament leads to wrist instability. The main type of such instability is
1177:
741:
597:
171:(DISI) deformity, where the lunate angulates to the posterior side of the hand.
136:
56:
35:
534:
Fairplay, Tracy; Cozzolino, Roberto; Atzei, Andrea; Luchetti, Riccardo (2013).
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910:
111:, which, if untreated, will eventually cause a predictable pattern of
164:
151:, with the dorsal segment being the strongest part. It is the main
960:
833:
675:
536:"Current Role of Open Reconstruction of the Scapholunate Ligament"
101:
25:
315:
Mark D. Miller; Jennifer Hart; John M. MacKnight (10 July 2009).
251:
Dynamic scapholunate instability visible upon clenching the wrist
30:
Shown is the right hand, palm down (left) and palm up (right). A=
951:
648:
683:
139:
bones of the wrist together. It is divided into three areas,
529:
527:
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354:"Scapholunate advanced collapse: a pictorial review"
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263:Scapholunate ligament disruption associated with a
62:
52:
42:
18:
620:
347:
345:
623:Squire's fundamentals of radiology, 6th Edition
810:Glenohumeral (superior, middle, and inferior)
183:, these other ligaments are ruptured as well.
660:
8:
107:Rupture of the scapholunate ligament causes
321:. Elsevier Health Sciences. pp. 305–.
956:
915:
838:
696:
667:
653:
645:
411:Clinical Orthopaedics and Related Research
24:
567:
469:
385:
591:Owen Kang and Henry Knipe; et al.
307:
214:
169:dorsal intercalated segment instability
79:
15:
7:
14:
1111:Superficial transverse metacarpal
938:Interosseous membrane of forearm
593:"Scapholunate advanced collapse"
423:10.1097/00003086-200102000-00006
256:
244:
232:
217:
176:dynamic scapholunate instability
127:The scapholunate ligament is an
181:static scapholunate instability
756:Inferior transverse of scapula
296:scapholunate advanced collapse
117:scapholunate advanced collapse
1:
751:Superior transverse scapular
1205:Ligaments of the upper limb
496:The Journal of Hand Surgery
444:Shah, CM; Stern PJ (2013).
1221:
1106:Deep transverse metacarpal
714:Posterior sternoclavicular
508:10.1016/j.jhsa.2013.04.004
450:Curr Rev Musculoskelet Med
283:
212:may be used in diagnosis.
709:Anterior sternoclavicular
462:10.1007/s12178-012-9149-4
370:10.1007/s13244-014-0337-1
227:scapholunate dissociation
196:scapholunate dissociation
74:
23:
1030:Interosseous intercarpal
540:Journal of Wrist Surgery
109:scapholunate instability
1072:Palmar carpometacarpal
1067:Dorsal carpometacarpal
619:Novelline, RA (2004).
552:10.1055/s-0033-1343092
318:Essential Orthopaedics
76:Anatomical terminology
358:Insights into Imaging
131:ligament binding the
94:scapholunate ligament
19:Scapholunate ligament
292:wrist osteoarthritis
286:Wrist osteoarthritis
113:wrist osteoarthritis
1121:Metacarpophalangeal
879:Proximal radioulnar
1025:Palmar intercarpal
1020:Dorsal intercarpal
973:Palmar radiocarpal
969:Dorsal radiocarpal
815:Transverse humeral
1190:
1189:
1186:
1185:
1083:Radial collateral
991:Radial collateral
982:Palmar ulnocarpal
978:Dorsal ulnocarpal
961:Wrist/radiocarpal
946:
945:
933:Dorsal radioulnar
928:Palmar radioulnar
920:Distal radioulnar
905:
904:
851:Radial collateral
828:
827:
767:Acromioclavicular
734:Acromioclavicular
328:978-1-4160-5473-3
203:Terry Thomas sign
90:
89:
85:
1212:
1088:Ulnar collateral
987:Ulnar collateral
957:
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869:Ulnar collateral
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772:Coracoclavicular
701:Sternoclavicular
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265:Colles' fracture
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82:edit on Wikidata
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1144:Interphalangeal
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1098:Intermetacarpal
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1059:Carpometacarpal
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724:Costoclavicular
719:Interclavicular
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1049:Pisometacarpal
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1040:Pisiform joint
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1015:Radiate carpal
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820:Glenoid labrum
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746:Coracoacromial
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546:(2): 116–125.
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502:(7): 1346–55.
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417:(383): 32–40.
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364:(4): 407–417.
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284:Main article:
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129:intraarticular
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1173:Carpal tunnel
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805:Coracohumeral
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634:0-674-01279-8
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280:Complications
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211:
210:Watson's test
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37:
33:
27:
22:
17:
1192:
1076:
1035:Scapholunate
1034:
892:Oblique cord
843:Humeroradial
792:Glenohumeral
622:
614:
602:. Retrieved
596:
586:
543:
539:
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332:. Retrieved
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180:
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126:
108:
106:
93:
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1178:Ulnar canal
1001:Intercarpal
861:Humeroulnar
742:Syndesmoses
598:Radiopaedia
456:(1): 9–17.
159:Instability
1152:Collateral
1129:Collateral
1044:Pisohamate
334:1 November
302:References
153:stabilizer
1006:Midcarpal
776:trapezoid
680:ligaments
604:5 January
560:2163-3916
378:1869-4101
272:Treatment
187:Diagnosis
163:Complete
1199:Category
897:Quadrate
763:Synovial
692:Shoulder
578:24436803
516:23790423
480:23325545
431:11210966
396:24891066
298:(SLAC).
145:proximal
133:scaphoid
119:(SLAC).
98:ligament
47:Scaphoid
32:Scaphoid
911:Forearm
800:Capsule
682:of the
569:3699272
471:3702758
387:4141341
294:called
165:rupture
123:Anatomy
115:called
100:of the
1157:Palmar
1134:Palmar
887:Anular
781:conoid
676:Joints
631:
576:
566:
558:
514:
478:
468:
429:
394:
384:
376:
325:
225:Static
149:palmar
141:dorsal
137:lunate
57:Lunate
36:Lunate
1166:Other
1078:thumb
834:Elbow
192:X-ray
102:wrist
96:is a
80:[
952:Hand
678:and
629:ISBN
606:2018
574:PMID
556:ISSN
512:PMID
476:PMID
427:PMID
392:PMID
374:ISSN
336:2010
323:ISBN
208:The
147:and
135:and
92:The
69:1819
43:From
34:, B=
684:arm
564:PMC
548:doi
504:doi
466:PMC
458:doi
419:doi
415:383
382:PMC
366:doi
64:TA2
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356:.
344:^
174:A
143:,
104:.
53:To
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774:(
668:e
661:t
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454:6
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368::
362:5
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84:]
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