Scapholunate dissociation

Case contributed by Andrew Dixon
Diagnosis certain

Presentation

Wrist pain after a fall

Patient Data

Age: 30 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

x-ray

There is an intra-articular radial styloid fracture. Importantly, there is widening of the scapholunate distance (Terry Thomas sign) consistent with scapholunate dissociation. 

ct

There is an intra-articular radial styloid fracture. Importantly, there is widening of the scapholunate distance (Terry Thomas sign) consistent with scapholunate dissociation. 

Case Discussion

This represents a surgically significant ligamentous injury.

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