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Review Question - QID 8740

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QID 8740 (Type "8740" in App Search)
A 40-year-old right-handed professional football player reports persistent right wrist pain after falling during a game 5 days ago. A radiograph is shown in Figure 21. Management should consist of
  • A

immobilization in a short arm thumb spica cast.

8%

111/1362

immobilization in a long arm thumb spica cast.

1%

15/1362

arthroscopic repair and percutaneous pinning.

18%

249/1362

open repair and percutaneous pinning.

71%

964/1362

dorsal capsulodesis.

1%

18/1362

  • A

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The radiograph reveals an increased distance between the scaphoid and the lunate, which is indicative of scapholunate disassociation. A ring sign is also present, which represents the distal pole of the scaphoid viewed end on in a palmarly flexed position. In the acute setting, the scapholunate can be repaired. Open repair and percutaneous pinning is the treatment of choice. Dorsal capsulodesis is performed in the chronic setting if such an injury is initially missed.

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