Presentation
Chronic wrist pain
Patient Data
Age: 75 years
Gender: Male
From the case:
Scapholunate advanced collapse (SLAC)
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- scapholunate diastasis with widening and proximal migration of the scaphoid
- rotatory subluxation of the scaphoid
- advanced secondary osteoarthritis of the radioscaphoid and to a lesser extent the capitolunate articulations with large subchondral geode within the distal radius
- a true lateral has not been obtained making assessment of any dorsal intercalated segmental instability (DISI) difficult
Case Discussion
Nice example of SLAC wrist with secondary degenerative changes including large distal radius geode.
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