Dorsal intercalated segmental instability

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Persistent radial-sided wrist pain since a fall 2 years ago. Last 3 months have experienced increasing weakness of the wrist and reduced grip strength. Positive Watson test.

Patient Data

Age: 45 years
Gender: Male

Triangular configuration of the lunate and widening of the scapholunate interval. The lateral projection demonstrates dorsal tilt of the lunate with increased scapholunate angle. The capitolunate angle appears normal. 

Case Discussion

The radiographic findings indicate DISI which is secondary to chronic rupture of the scapholunate ligament.

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