Items tagged “wrist”

58 results found
Article

Mayfield classification of carpal instability (perilunate instability)

Mayfield classification of carpal instability, also known as perilunate instability classification (carpal dislocations), describes carpal ligament injuries.  Instability has been divided into four stages 1-2: stage I: scapholunate dissociation (rotatory subluxation of the scaphoid) disruptio...
Article

Colles fracture

Colles fractures are very common extra-articular fractures of the distal radius that occur as the result of a fall onto an outstretched hand. They consist of a fracture of the distal radial metaphyseal region with dorsal angulation and impaction, but without the involvement of the articular surf...
Article

Scaphoid fracture

Scaphoid fractures (i.e. fractures through the scaphoid bone) are common, in some instances can be difficult to diagnose, and can result in significant functional impairment. Epidemiology Scaphoid fractures account for 70-80% of all carpal bone fractures 1. Although they occur essentially at a...
Article

Palmer classification of TFCC abnormalities

Palmer classification for triangular fibrocartilage complex (TFCC) abnormalities is based on the cause, location and degree of injury 1: Class 1 - traumatic injury a: central perforation b: ulnar avulsion with or without distal ulnar fracture may involve the proximal or distal lamina (foveal...
Article

Chauffeur fracture

Chauffeur fractures (also known as Hutchinson fractures or backfire fractures) are intra-articular fractures of the radial styloid process. The radial styloid is within the fracture fragment, although the fragment can vary markedly in size. Pathology Mechanism These injuries are sustained eit...
Article

Dorsal intercalated segment instability

Dorsal intercalated segment instability (DISI) is one of the types of instability involving the wrist. It occurs because of a disruption of the dorsal intercarpal ligament. It is more often encountered than volar intercalated segment instability (VISI). Pathology Etiology wrist trauma, with o...
Article

Ulnar impaction syndrome

Ulnar impaction syndrome, also known as ulnar abutment or ulnocarpal loading, is a degenerative wrist condition caused by the ulnar head impacting upon the ulnar-sided carpus with the injury to the triangular fibrocartilage complex (TFCC). Epidemiology Ulnar impaction syndrome most commonly pr...
Article

Ulnar impingement syndrome

Ulnar impingement syndrome is a wrist condition caused by a shortened distal ulna impinging on the distal radius proximal to the sigmoid notch. The syndrome is distinct from ulnar impaction syndrome, which typically occurs due to a long ulna (positive ulnar variance) impacting upon the triangula...
Article

Ulnar styloid impaction syndrome

Ulnar styloid impaction syndrome refers to wrist pain due to a long ulnar styloid process impacting upon the triquetral bone. Pathology An unlar styloid >6mm in length is commonly regarded as being long. Impaction results in chondromalacia of the opposing articular surfaces, i.e. the proximal ...
Article

Ulnar-sided wrist impaction and impingement syndromes

There are several distinct ulnar-sided wrist impaction and impingement syndromes. Underlying anatomical causes exist for each syndrome, however, repetitive or excessive use of the forearm and wrist can also contribute. ulnar impaction syndrome: positive ulnar variance ulnar impingement syndrom...
Article

De Quervain tenosynovitis

De Quervain tenosynovitis, also known as washerwoman's sprain/strain, is a painful stenosing tenosynovitis involving the first extensor (dorsal) tendon compartment of the wrist (typically at the radial styloid). This compartment contains the abductor pollicis longus (APL) and extensor pollicis b...
Article

Perilunate dislocation

Perilunate dislocations and perilunate fracture dislocations are potentially devastating closed wrist injuries that are often missed on initial imaging.  These injuries involve dislocation of the carpus relative to the lunate which remains in normal alignment with the distal radius. They should...
Article

Lunate dislocation

Lunate dislocations are an uncommon traumatic wrist injury that require prompt management and surgical repair. The lunate is displaced and rotated volarly. The rest of the carpal bones are in a normal anatomic position in relation to the radius. These should not be confused with perilunate disl...
Article

Scapholunate dissociation

Scapholunate dissociation, also known as rotary subluxation of the scaphoid, refers to an abnormal orientation of the scaphoid relative to the lunate, and implies severe injury to the scapholunate interosseous ligament and other stabilizing ligaments. Carpal dissociation implies carpal instabil...
Article

Terry Thomas sign

The Terry Thomas sign refers to an increase in the scapholunate space on an AP radiograph of the wrist (or coronal CT). The increased distance indicates scapholunate dissociation (often with rotary subluxation of the scaphoid) due to ligamentous injury. There is no consensus as to what measureme...
Article

Causes of abnormal lunate signal on MRI

There are several important causes of an abnormal lunate signal on MRI, the most frequent causes being Kienbock disease (25%), ulnar impaction syndrome (25%) and intraosseous ganglia (20%).1 Appreciation of the pattern of bone signal change can often allow the correct diagnosis to be made. Kien...
Article

Ulnar variance

Ulnar variance (also known as Hulten variance) refers to the relative lengths of the distal articular surfaces of the radius and ulna.  Ulnar variance may be: neutral (both the ulnar and radial articular surfaces at the same level) positive (ulna projects more distally) negative (ulna projec...
Article

Ossification centers of the wrist

Ossification of the wrist can be divided into two components: carpal bone ossification centers distal radial and ulna ossification centers Ossification of the carpal bones Ossification of the carpal bones occurs in a predictable sequence, starting with the capitate and ending with the pisifo...
Article

Carpal tunnel syndrome

Carpal tunnel syndrome results from compression of the median nerve within the carpal tunnel. It is a cause of significant disability and is one of three common median nerve entrapment syndromes, the other two being anterior interosseous nerve syndrome and pronator teres syndrome.  Epidemiology...
Article

Distal intersection syndrome

The distal intersection syndrome relates to tenosynovitis of the extensor pollicis longus (EPL) tendon, where it crosses the extensor carpi radialis longus (ECRL) and brevis (ECRB) tendons 1. It is distinct from intersection syndrome which occurs more proximally in the forearm at the intersectio...

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