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X-ray of the affected wrist is required if a fracture is suspected. Posteroanterior, lateral, and oblique views can be used together to describe the fracture. [ 5 ] X-ray of the uninjured wrist should also be taken to determine if any normal anatomic variations exist before surgery.
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 ...
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]
The two most common techniques for estimating bone age are based on a posterior-anterior x-ray of a patient's left hand, fingers, and wrist. [5] [17] The reason for imaging only the left hand and wrist are that a hand is easily x-rayed with minimal radiation [18] and shows many bones in a single view. [19]
A line drawn between the distal ends of the articular surface of the radius on a lateral X-ray. A line that is perpendicular to the diaphysis of the radius. Sometimes, the diaphysis of the radius is hard to distinguish from the ulna, and a line between them (turquoise line in image) may be used instead. [2]
The PA wrist x-ray will demonstrate sclerosis and joint space narrowing between the lunate and capitate. Over time, the capitate will migrate proximally into the space created by the scapholunate dissociation. [2] The radiographic findings in Stage III SLAC wrist are synonymous with the Terry-Thomas sign, indicating complete scapholunate ...
A Smith's fracture, is a fracture of the distal radius. [1]Although it can also be caused by a direct blow to the dorsal forearm [2] or by a fall with the wrist flexed, the most common mechanism of injury for Smith's fracture occurs in a palmar fall with the wrist joint slightly dorsiflexed. [3]
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]