Document Detail


The association of scapho-trapezio-trapezoid osteoarthrosis and scapholunate dissociation.
MedLine Citation:
PMID:  17405194     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There are two parts to this paper. In the first part we report 18 cases of bilateral scapho-trapezio-trapezoid osteoarthrosis associated with uni- or bilateral scapholunate dissociation. This case series was followed prospectively using repeat clinical assessments and radiographs. We were able to document the progression of both the clinical manifestations and radiographic features of the scapholunate dissociation in these patients. In the second part of the paper we compared the radiographic indices of scapholunate dissociation seen in our series, that is, the scapholunate angle and interval, with those of a control group over time, to determine if there was a significant difference. The control group differed from our series principally by being devoid of any clinical or radiographic evidence of scapho-trapezio-trapezoid osteoarthrosis. We found that our case series already had some radiographic evidence of scapholunate attrition at presentation and that at follow-up the scapholunate dissociation became more pronounced both clinically and radiographically relative to the controls. The authors propose a theory to explain the association and temporal relationship between the two conditions.
Authors:
C Roberts; M Porter; A P Wines; B Shadbolt
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand     Volume:  11     ISSN:  0218-8104     ISO Abbreviation:  Hand Surg     Publication Date:  2006  
Date Detail:
Created Date:  2007-04-03     Completed Date:  2007-07-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9602613     Medline TA:  Hand Surg     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  135-41     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, The Canberra Hospital, Woden, ACT 2606, Australia. chris.john.roberts@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Carpal Bones / radiography*,  surgery
Case-Control Studies
Female
Follow-Up Studies
Humans
Ligaments, Articular / injuries*,  radiography*,  surgery
Male
Middle Aged
Osteoarthritis / radiography*,  surgery
Prospective Studies
Rupture / radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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