Lunotriquetral ligament instability: Difference between revisions
No edit summary |
ClaireLewis (talk | contribs) |
||
| (3 intermediate revisions by 2 users not shown) | |||
| Line 11: | Line 11: | ||
==Evaluation== | ==Evaluation== | ||
*X-ray ('''note: imaging is often normal with this injury''') | |||
*X-ray (''note: | |||
**PA - Widening of the triquetrolunate joint space | **PA - Widening of the triquetrolunate joint space | ||
**Lateral - volar intercalated segment instability is seen | **Lateral - volar intercalated segment instability is seen | ||
| Line 18: | Line 17: | ||
==Management== | ==Management== | ||
*Ulnar gutter splint or short arm posterior mold | *[[Ulnar gutter splint]] or short arm posterior mold | ||
*Refer to orthopedic surgery | *Refer to orthopedic surgery | ||
| Line 31: | Line 30: | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
[[Category:Sports Medicine]] | |||
Latest revision as of 16:32, 18 October 2019
Background
- Ulnar equivalent of the scapholunate ligament injury
- May be confused with other causes of ulnar-sided wrist pain
- Results from FOOSH with impact on hypothenar eminence
Clinical Features
- Localized tenderness on ulnar aspect of wrist just distal to ulna
Differential Diagnosis
Hand and finger injuries
- Distal finger
- Other finger/thumb
- Boutonniere deformity
- Mallet finger
- Jammed finger
- Jersey finger
- Trigger finger
- Ring avulsion injury
- De Quervain tenosynovitis
- Infiltrative tenosynovitis
- Metacarpophalangeal ulnar ligament rupture (Gamekeeper's thumb)
- Hand
- Wrist
- Drummer's wrist
- Ganglion cyst
- Lunotriquetral ligament instability
- Scaphoid fracture
- Extensor digitorum tenosynovitis
- Compressive neuropathy ("bracelet syndrome")
- Intersection syndrome
- Snapping Extensor Carpi Ulnaris
- Vaughn Jackson syndrome
- General
Evaluation
- X-ray (note: imaging is often normal with this injury)
- PA - Widening of the triquetrolunate joint space
- Lateral - volar intercalated segment instability is seen
- Lunate tilts palmar producing zigzag pattern (opposite of scapholunate injury)
Management
- Ulnar gutter splint or short arm posterior mold
- Refer to orthopedic surgery
Disposition
- Discharge with ortho follow-up