Abdurrahman Ozçelik1, Izge Günal, Nusret Köse. 1. Department of Orthopaedics and Traumatology, Osmangazi University, School of Medicine, Meşelik 26480, Eskişehir, Turkey. aozcelik@ogu.edu.tr
Abstract
AIM: On the suspected carpal instabilities stress views are recommended but not often used. The present study evaluates the reliability of the dorsal and volar stress radiographs on patients with posttraumatic wrist pain. PATIENTS AND METHODS: Stress radiographs of the wrists were examined in 22 patients with chronic wrist pain and the results were compared with scaphoid shift test and standard and positional views. The stress examination consists of applying to the wrist dorsal and volar stresses on the hand. RESULTS: Static scapholunate instability was diagnosed in 4 patients in whom 3 of them had positive scaphoid shift test sign as well. There were, however, 18 patients with dynamic scapholunate instability in whom the standard films were normal but dorsal stress radiography showed gap greater than 3mm between the scaphoid and lunate. CONCLUSION: Stress tests may provide considerable information in the evaluation of a patient who has a painful wrist in whom routine and special views do not demonstrate scapholunate dissociation.
AIM: On the suspected carpal instabilities stress views are recommended but not often used. The present study evaluates the reliability of the dorsal and volar stress radiographs on patients with posttraumatic wrist pain. PATIENTS AND METHODS: Stress radiographs of the wrists were examined in 22 patients with chronic wrist pain and the results were compared with scaphoid shift test and standard and positional views. The stress examination consists of applying to the wrist dorsal and volar stresses on the hand. RESULTS: Static scapholunate instability was diagnosed in 4 patients in whom 3 of them had positive scaphoid shift test sign as well. There were, however, 18 patients with dynamic scapholunate instability in whom the standard films were normal but dorsal stress radiography showed gap greater than 3mm between the scaphoid and lunate. CONCLUSION: Stress tests may provide considerable information in the evaluation of a patient who has a painful wrist in whom routine and special views do not demonstrate scapholunate dissociation.
Authors: Tobias Johannes Dietrich; Andoni Paul Toms; Luis Cerezal; Patrick Omoumi; Robert Downey Boutin; Jan Fritz; Rainer Schmitt; Maryam Shahabpour; Fabio Becce; Anne Cotten; Alain Blum; Marco Zanetti; Eva Llopis; Maciej Bień; Radhesh Krishna Lalam; P Diana Afonso; Vasco V Mascarenhas; Reto Sutter; James Teh; Grzegorz Pracoń; Milko C de Jonge; Jean-Luc Drapé; Marc Mespreuve; Alberto Bazzocchi; Guillaume Bierry; Danoob Dalili; Marc Garcia-Elias; Andrea Atzei; Gregory Ian Bain; Christophe L Mathoulin; Francisco Del Piñal; Luc Van Overstraeten; Robert M Szabo; Emmanuel J Camus; Riccardo Luchetti; Adrian Julian Chojnowski; Jörg G Grünert; Piotr Czarnecki; Fernando Corella; Ladislav Nagy; Michiro Yamamoto; Igor O Golubev; Jörg van Schoonhoven; Florian Goehtz; Maciej Klich; Iwona Sudoł-Szopińska Journal: Eur Radiol Date: 2021-06-08 Impact factor: 5.315