Diagnosis The first measure is the clinical examination of the wrist. There should be specific tests (Watson’s shift test) to determine whether SLD can be diagnosed with certainty. As a further measure, an x-ray of the wrist will be performed in two planes. A third degree scapholunar dissociationSLD can be diagnosed by the extended distance … Diagnosis | Scapholunar dissociationSLD
Prognosis The prognosis of a scapholunar dissociation cannot be given in general terms, but must be made dependent on the respective extent and concomitant injuries. It is important to notice the injury early. If the diagnosis is made immediately, the injury can heal stably and sustainably within 6 weeks with conservative therapy and consistent immobilization. … Prognosis | Scapholunar dissociationSLD
Therapy Like all fractures, the scaphoid fracture can be treated conservatively in a plaster cast or by surgery. The indication for a conservative approach are non-displaced scaphoid fractures. Due to the very slow healing of the fracture, the duration of the plaster therapy is extremely long. For the first 6 weeks an upper arm plaster … Therapy of a scaphoid fracture
Prognosis The prognosis is favorable with operative and conservative therapy. Nevertheless, there are therapy failures in both forms of therapy, i.e. bone fractures do not heal. An untreated scaphoid fracture generally ends in the formation of a false joint (pseudarthrosis), which can be painless and can only cause problems years after the fall. It should … Prognosis | Therapy of a scaphoid fracture
General information At the foot seven tarsal bones are distinguished. These are divided into a row close to the body (proximal) and a row far from the body (distal). The bones near the ankle (proximal) are tarsal bones: In the direction of the toes are the five bones farthest from the body (distal): The tarsal … The tarsal bones
The scaphoid (Os naviculare) The scaphoid lies between the talus and the three sphenoid bones. With each of these bones the scaphoid is in a jointed connection. It is also part of the lower ankle joint. Three wedge legs (Ossa cuneiforme) The three sphenoid bones are divided into a central (medial) bone, a lateral (lateral) … The scaphoid (Os naviculare) | The tarsal bones
Pain in the area of the tarsal bones Pain in the area of the tarsal bones can have various causes. Especially if no accident or other obvious injury has taken place, the pain is often inexplicable for the person affected. A very common reason for such foot pain is malpositioning of the foot. Due to … Pain in the area of the tarsal bones | The tarsal bones
Summary The seven tarsal bones are divided into two rows: Since the tarsal bones have to carry the entire body weight with every step, they are very stable and are strongly fixed to each other by tight ligaments.In order to be able to remember the individual tarsal bones better, the following rule of thumb applies … Summary | The tarsal bones
Synonyms in a broader sense Sudeck`sche healing derailment Algodystrophy Causalgia Sudeck Syndrome Posttraumatic Dystrophy Complex Regional Pain Syndrome Complex regional pain syndrome I and II Sympathetic reflex dystrophy Sudeck ́sche Disease Introduction In Sudeck’s disease (also known as CRPS I= Cronic Regional Pain Syndrome) at least one joint is affected. This is usually on the … Sudeck’s disease
Appearance When does Sudeck’s disease occur? 50% after 25% without 20% after 5% after Contusions (bruises) Sprains Fractures (bone fracturesBone fracture) Luxations (joint dislocations) After OperationsOperation Obvious cause Neuropathies (nervous diseases) Myocardial infarction (heart attack) Coronary insufficiency (coronary artery disease) Hyperthyroidism (overactive thyroid) Medication (e.g. barbiturates (sleeping pills)) Frequency Due to the many different symptoms, … Appearance | Sudeck’s disease
Differential diagnosis alternative causes A number of other diseases can fake more or less symptoms of Sudeck’s disease. The following diseases are among them: FracturesBone fracture DistortionsContusions (dislocation bruises) Compartment syndrome Overload syndrome Thoracic-outlet syndrome e.g. caused by a cervical rib Peripheral nerve constriction syndrome (nerve constriction of various causes) Lymph congestion (edema) Myofascial pain … Differential diagnosis alternative causes | Sudeck’s disease
Healing The most important factor in the treatment of Sudeck’s disease is an early and stage-appropriate multimodal therapy. For a cure, the recognition of this clinical picture at the earliest possible stage is particularly important. The best chances of a cure exist when there is no nerve injury. In a few cases the complete cure … Healing | Sudeck’s disease
