[Dorsal scapho-lunate bone dislocation].

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 12. Eur J Orthop Surg Traumatol. 2023 Aug;33(6):2271-2276. doi: 10.1007/s00590-022-03418-5. Epub 2022 Oct 27. Wrist angle measurements in predicting the presence of a displaced scaphoid fracture. Becker J(1), Luria S(2), Huang S(1), Petchprapa C(1), Wollstein R(3). Author information: (1)School of Medicine, New York University, 1999 Marcus Ave., New Hyde Park, NY, 11042, USA. (2)Hadassah Medical Center, Jerusalem, Israel. (3)School of Medicine, New York University, 1999 Marcus Ave., New Hyde Park, NY, 11042, USA. ronitwollstein@gmail.com. PURPOSE: Early diagnosis and treatment of scaphoid fractures is critical to achieve union and prevent wrist degenerative arthritis. Plain radiographic measurements can guide the early approach to suspected fractures. Specifically, the ability to predict fracture or fracture stability from plain radiographs may allow the traumatologist to expand initial referral to three-dimensional imaging. We evaluated the ability of four measured angles to predict presence of a scaphoid fracture and stability. METHODS: Fifty patients with a scaphoid fracture and 50 patients without fracture were evaluated for the cortical ring sign, scapho-lunate gapping, lateral scapholunate (SL), radio-scaphoid (RS), radio-lunate (RL), and radio-capitate (RC) angles by two-blinded observers. RESULTS: Measurement of an increased SL interval was associated with the presence of a scaphoid fracture as diagnosed on three-dimensional imaging [odds ratio (OR) 3.0, confidence interval (CI) 1.53-5.87, p =