Rotatory subluxation of the scaphoid

Rotatory subluxation of the scaphoid is an uncommon abnormality which is not widely understood. It can be difficult to diagnose and, if incorrectly managed, can lead to a severe and disabling radio-carpal arthritis. While complicating many forms of wrist trauma, its place in the lunate-perilunate di...

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Bibliographic Details
Published inClinical radiology Vol. 35; no. 6; pp. 495 - 501
Main Author Cope, J.R.
Format Journal Article
LanguageEnglish
Published Amsterdam Elsevier Ltd 01.01.1984
Elsevier
Subjects
Adult
Aged
Biological and medical sciences
Carpal Bones - diagnostic imaging
Carpal Bones - injuries
Female
Humans
Injuries of the limb. Injuries of the spine
Joint Dislocations - diagnostic imaging
Male
Medical sciences
Radiography
Rotation
Traumas. Diseases due to physical agents
Wrist - diagnostic imaging
Os naviculare carpi
Luxation
Hand
Rotation
Trauma
Diseases of the osteoarticular system
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Summary:Rotatory subluxation of the scaphoid is an uncommon abnormality which is not widely understood. It can be difficult to diagnose and, if incorrectly managed, can lead to a severe and disabling radio-carpal arthritis. While complicating many forms of wrist trauma, its place in the lunate-perilunate dislocation spectrum being especially important, the abnormality may occur in the absence of trauma, such as with rheumatoid arthritis; its association with Kienböck's disease is documented in this paper. The mechanisms underlying the subluxation are discussed and the importance of early diagnosis is stressed. Eight cases of rotatory subluxation of the scaphoid are reported to illustrate the presentations, symptomatology and complexities of diagnosis.
Bibliography:ObjectType-Case Study-2
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ISSN:0009-9260
1365-229X
DOI:10.1016/S0009-9260(84)80072-0