Scapholunate dissociation - Terry Thomas sign

Case contributed by Ian Bickle
Diagnosis certain


Fall onto an outstretched hand.

Patient Data

Age: 35 years
Gender: Male

Widening of the scapholunate space (Terry Thomas sign).

Case Discussion

The Terry Thomas (or Madonna) sign is given to the increase in the scapholunate space identified on an AP radiograph. The increased distance indicates scapholunate dissociation.

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