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The scapholunate ligament is a ligament of the wrist. [ 1 ] Rupture of the scapholunate ligament causes scapholunate instability , which, if untreated, will eventually cause a predictable pattern of wrist osteoarthritis called scapholunate advanced collapse (SLAC).
Scapholunate advanced collapse (also known as SLAC wrist) is a type of wrist osteoarthritis. SLAC wrist is the most common type of post-traumatic wrist osteoarthritis [ 1 ] and is often the result of an undiagnosed or untreated scapholunate ligament rupture. [ 2 ]
In radiology, the Terry-Thomas sign is a scapholunate ligament dissociation on an anteroposterior view of the wrist. [1] [2] Most commonly a result of a fall on the outstretched hand , the scapholunate ligament ruptures resulting in separation of the lunate and scaphoid bones. This burst causes the scaphoid bone to dorsally rotate. [3]
Because SLAC results from scapholunate ligament rupture, there is a larger space between the two bones, also known as the Terry Thomas sign. [10] Scaphoid instability due to the ligament rupture can be stactic or dynamic. [11] When the X-ray is diagnostic and there is a convincing Terry Thomas sign it is a static scaphoid instability.
An offseason of inaction wasn't great, but it also didn't tear apart a roster that is a fantastic 36-15 the past three seasons. Dallas is treated like a team coming off three straight 5-12 seasons ...
Cardi B reveals accident, ligament tear following pregnancy announcement. Mariel Turner. August 9, 2024 at 9:44 AM “I couldn’t move,” the rapper said, adding that she felt “paralyzed.” ...
The initial treatment of patients with a suspected tear of the scapholunate and lunotriquetral interosseous ligament is a splint of the wrist. If the pain and instability persists, one could undergo an open surgery to reconstruct the scapholunate ligament. The lunotriquetral shear test may also be used.
“Moral injury is a touchy topic, and for a long time [mental health care] providers have been nervous about addressing it because they felt inexperienced or they felt it was a religious issue,” said Amy Amidon, a staff psychologist at the San Diego Naval Medical Center who oversees its moral injury/moral repair therapy group.
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