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Journal of Hand Surgery (British and European Volume)
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Arthroscopic Diagnosis of Scapho-Lunate Instability in the Absence of X-Ray Abnormalities

G. DAUTEL, B. GOUDOT and M. MERLE

From the Hôpital Jeanne d’Arc, Toul, France

Correspondence: G. Dautel, Service de chirurgie "D", Hôpital Jeanne d’Arc, BP 301, 54201 Toul, France.

26 patients with at least one clinical symptom that could indicate a tear of the scapho-lunate interosseous ligament but normal static and dynamic radiographs were examined by arthroscopy. We found that a diagnosis of scapho-lunate instability could be established by dynamic manoeuvres during radio-carpal and mid-carpal arthroscopy. Five patients were found to have true scapho-lunate instability. Six tears of the interosseous ligament without instability were also detected but it was doubtful if the tear was the origin of the painful symptomatology. This experience suggests that dynamic manoeuvres during arthroscopy are superior to other methods in diagnosing scapho-lunate instabilities at the pre-radiographic stage.

Journal of Hand Surgery (British and European Volume), Vol. 18, No. 2, 213-218 (1993)
DOI: 10.1016/0266-7681(93)90113-T
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