Fracture of the radial styloid process with scapholunate dissociation

Case contributed by Dr Balint Botz

Presentation

Sustained a FOOSH, injured the left wrist.

Patient Data

Age: 65 years
Gender: Male
  • Depressed radial styloid process fracture, increased SL distance and negative ulnar variance redemonstrated. 
  • Small, sclerotic foci adjacent to the scaphoid likely represent degenerative changes rather then acute trauma.  
  • Small bone island in the capitate with no clinical significance. 

Status post ORIF with nail and volar locking plate, radiograph taken in cast. Increased SL distance and negative ulnar variance redemonstrated. 

Case Discussion

Scapholunate interval and ulnar variance should be carefully assessed on every trauma wrist exam taken post FOOSH. 

PlayAdd to Share

Case information

rID: 84935
Published: 11th Dec 2020
Last edited: 11th Dec 2020
System: Trauma
Inclusion in quiz mode: Included
Institution: University of Pécs

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.