Synonyms in a broader sense Scapholunary dissociation, scaphoid dislocation, ligament injury of the carpus, distal radius fracture, hand injury Definition In scapholunar dissociationSLD, external force is used to injure the ligaments in the carpal area between the scaphoid bone (Os scaphoideum, formerly Os naviculare) and the lunate bone (Os lunatum). Cause Scapholunar dissociationSLD is the … Scapholunar dissociationSLD
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
Synonyms in a broader sense Scapholunary dissociation Scaphoid luxation Ligament injury of the wrist Distal radius fracture Hand Injury There are these possibilities of therapy In principle, scapholunar dissociation can be treated both conservatively and surgically. The conservative therapy is a treatment method for slight displacements of the scaphoid and lunar bone, if there are … Therapy of scapholunary dissociationSLD
When does one need surgery? In scapholunar dissociation there are many different manifestations of the disease. A fall or a violent impact damages the ligaments of the carpal bones, allowing them to emerge from their rigid skeleton. If the small carpal bones leave their anatomical place, one speaks of a dislocation. If, however, in addition … When does one need surgery? | Therapy of scapholunary dissociationSLD
Note You are here in the sub-theme Therapy of Scapholunary Dissociation. For general information on this topic, see Scapholunary Dissociation (SLD). Complications The complication of untreated or overlooked (1° and 2° injuries are often difficult to diagnose) scapholunar dissociationSLD is the development of osteoarthritis. Due to the unfavorable position of the individual carpal bones against … Note | Therapy of scapholunary dissociationSLD
