Scapholunate Advanced Collapse Wrist - Keeping It Simple - A Case Report

Overview

Journal J Orthop Case Rep

Specialty Orthopedics

Date 2024 Jan 1

PMID 38162347

Authors

Satvik N Pai

Naveen Jeyaraman

Tarun Jayakumar

Madhan Jeyaraman

Affiliations

Soon will be listed here.

Abstract

Introduction: Scapholunate advanced collapse is a rare condition of progressive deformity, instability, and arthritis that affects the radiocarpal and mid-carpal joints of the wrist. It occurs as a result of injury to the scapholunate ligament being left untreated.

Case Report: We present the imaging of a 50-year-old woman who complained of pain in her right wrist for 2 years. Radiographs of the wrist revealed scapholunate diastasis (Terry Thomas Sign), arthritis of the radio-scaphoid joint, dorsal intercalated segment instability, radial styloid beaking, and proximal migration of capitate. We also demonstrate the measurement of radiological parameters such as scapholunate angle.

Conclusion: A complete in-depth radiological analysis can thus demonstrate several signs that can prevent missed diagnosis. Increased awareness regarding these radiological signs can avoid the unnecessary higher imaging modalities being performed.

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