The roentgen appearance and pathogenesis of carpal instability are described in an evaluation of patients and cadavers with rheumatoid arthritis and calcium pyrophosphate deposition disease. Dorsiflexion (16%) and palmar flexion (8%) instability occurs in rheumatoid arthritis, particularly in patients with moderate to advanced disease. Navicular-lunate dissociation frequently accompanies dorsif...

Devastating perilunate injuries are rare, compromising of less than 10% of wrist injuries. We report a 19-year-old worker man who presented with left wrist pain and swelling after falling from a height. Not only the lunate was seen in middle third of forearm, but also proximal part of the scaphoid was in distal forearm. Open reduction and internal fixation was done via volar approach. He came b...

Background. Pseudoarthrosis of the scaphoid results in the development of carpal instability and severe posttraumatic osteoarthritis. Modern methods of treatment focus on reconstruction of the anatomical shape and length of the scaphoid. The purpose of our study was to determine the occurrence of carpal osteoarthritis after surgical treatment of scaphoid pseudoarthrosis using a cortico-cancello...

INTRODUCTION Distal forearm fracture is one of the most frequently observed osteoporotic fractures which may occur as a result of low energy falls such as falls from a standing height and may be linked to the osteoporotic nature of the bone especially in the elderly. In order to improve both the diagnosis of high fracture risk individuals and the fracture prevention methods, the influence of ex...

A method to study ligament-length patterns in situ with roentgen-stereophotogrammetry, using strings of glued tantalum markers, was developed. The method was tested against a bone-to-bone marking method in five carpal ligaments in three specimens, whereby the hand was moved through dorsopalmar flexion and radioulnar deviation. The "glued-string" marking method was found to be superior to the bo...

Figure 1. Preoperative posteroanterior radiographs showing progressive fragmentation and collapse of the lunate, as well as subsequent pathologic fracture of the scaphoid.

The management of pain, stiffness and weakness of the wrist following unsuccessful conservative treatment of fractures of the scaphoid or of Kienb#{246}ck’s disease is a difficult problem. The result of excision of the affected bone is unpredictable and arthrodesis is a major procedure which leaves a disability. To avoid these disadvantages Stamm (1944) suggested arthroplasty of the wrist by ex...