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In orthopedic surgery, the lunotriquetral shear test or lunotriquetral shear maneuver involves stabilizing the lunate between thumb and index finger of one hand and the triquetrum between the thumb and index finger of the other. The pisiform and triquetrum are pushed in a palmar to dorsal direction. Discomfort in this area suggests the ...
The scapholunate ligament is an intraarticular ligament binding the scaphoid and lunate bones of the wrist together. It is divided into three areas, dorsal, proximal and palmar, with the dorsal segment being the strongest part. [3] It is the main stabilizer of the scaphoid. In contrast to the scapholunate ligament, the lunotriquetral ligament ...
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.
In part based on these concerns, some surgeon prefer to maintain the lunate in patients younger than 40 years proximal row carpectomy. [6] [18] A surgery called four-corner arthrodesis is an option. [6] The capitate, lunate, hamate and triquetrum are fused together in this procedure and the scaphoid is excised.
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]
Scapho-lunate dissociation: Atlas of Signs in Musculoskeletal Radiology: Gap between the scaphoid and lunate bones on AP wrist radiograph Thomas test: Hugh Owen Thomas: Orthopaedics: Fixed flexion deformity of hip: Supine patient flexes one hip whilst keeping other leg flat; back arches if flexion deformity is present Throckmorton's reflex
To perform the test, the examiner grasps the wrist with their thumb over the scaphoid tubercle (volar aspect of the palm) in order to prevent the scaphoid from moving into its more vertically oriented position in ulnar deviation. For the test, the wrist needs to be in slight extension. The patient's wrist is then moved from ulnar to radial ...
Kienböck's disease is a disorder of the wrist.It is named for Dr. Robert Kienböck, a radiologist in Vienna, Austria who described osteomalacia of the lunate in 1910. [1]It is breakdown of the lunate bone, a carpal bone in the wrist that articulates with the radius in the forearm.