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The scaphoid can be slow to heal because of the limited circulation to the bone. Fractures of the scaphoid must be recognized and treated quickly, as prompt treatment by immobilization or surgical fixation increases the likelihood of the bone healing in anatomic alignment, thus avoiding mal-union or non-union. [6] Delays may compromise healing.
Significant joint spaces are: The normal glenohumeral space is 4–5 mm. [1] Supraspinatus outlet view X-ray, showing subacromial space measurement. The normal subacromial space in shoulder radiographs is 9–10 mm; this space is significantly greater in men, with a slight reduction with age. [2]
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X-ray images indicate scapholunate ligament instability when the scapholunate distance is more than 3 mm, which is called scapholunate dissociation. [7] 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 ...
The most important ligament involved in shoulder joint stability is the Inferior Glenohumeral Ligament. During abduction of the arm, the middle and inferior ligaments become taut while the superior ligament relaxes. The radius of curvature of the head of the humerus is greater superiorly than inferiorly, which further stretches these ligaments ...
Some other common shoulder injuries are fractures to any shoulder girdle bones i.e. clavicle, ligamentous sprains such as AC joint or GH ligaments, rotator cuff injuries, different labral tears, and other acute or chronic conditions related to shoulder anatomy. Shoulder girdle pain can be acute or chronic and be due to a number of causes.
Scaphoid fractures are often diagnosed using plain radiographs and multiple views are obtained as standard. [9] However, not all fractures are apparent initially. [7] In 1/4 of cases, the clinical examination suggests a fracture, but the X-ray does not show it, even though there is indeed a fracture. [10]
Anterior and posterior views of the proximal humerus with labeled bony landmarks and muscle insertion sites. The shoulder joint consists of the glenoid cavity of the scapula and the head of the humerus. It as an extremely mobile joint that is stabilized by surrounding soft tissues such as the joint capsule, muscles, and ligaments. [11]