Lunotriquetral ligament instability: Difference between revisions

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==Clinical Features==
==Clinical Features==
*Localized tenderness on ulnar aspect of wrist just distal to ulna
*Localized tenderness on ulnar aspect of wrist just distal to ulna
==Differential Diagnosis==


==Diagnosis==
==Diagnosis==
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***Widening of the triquetrolunate joint space
***Widening of the triquetrolunate joint space


==Treatment==
==Management==
*Ulnar gutter splint or short arm posterior mold; referral to orthopedist
*Ulnar gutter splint or short arm posterior mold; referral to orthopedist


==Source==
==See Also==
Tintinalli
 
==References==


[[Category:Ortho]]
[[Category:Ortho]]

Revision as of 19:11, 4 June 2015

Background

  • Ulnar equivalent of the scapholunate ligament injury
  • May be confused w/ 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

Diagnosis

  • Note: subtle injuries may have normal radiographic appearance
  • Imaging
    • Lateral
      • Volar intercalated segment instability is seen
        • Lunate tilts palmar producing zigzag pattern opposite of scapholunate injury
    • PA
      • Widening of the triquetrolunate joint space

Management

  • Ulnar gutter splint or short arm posterior mold; referral to orthopedist

See Also

References