X-ray
Frontal
Lateral
Frontal view:
- Osteoarthritis affecting the radial styloid and the scaphoid, with narrowing of the radioscaphoid joint space and associated subchondral sclerosis and cyst formation.
- Osteoarthritis with narowwing of the lunocapitate joint space (Snac stage III), due to proximal migration of the capitate.
- Ulnar translation of lunate.
Lateral view:
- Dorsal tilt of the lunate with increased scapholunate angle.
Features consistent with SNAC wrist stage III, with DISI.