[Dislocation of the scaphoid bone of the hand].
After presentation of the kinematic of the scaphoid and the mechanism of the luxation of the scaphoid, the importance of the correct diagnosis of a wrist instability, after this injury, is demonstrated. After closed reduction a lateral, anteroposterior and a stress-radiography in ulnar-and radialstress has to be done. If the gap between the scaphoid and lunate is widened, a wrist instability exists. Another sign for a wrist instability is a scapholunate angle with more than 70 degrees and a wrong position between radius, scaphoid, lunate and capitate. The problems of conservative treatment are presented and primary repair of a wrist instability with suture of the ruptured ligaments and temporary Kirschner-wire fixation is recommended.
Habernek
H
H
A. O. Krankenhaus, Bad Ischl.
Orthner
E
E
D001174:Arthrodesis; D001864:Bone Wires; D002348:Carpal Bones / Q000293:injuries*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D007593:Joint Instability / Q000601:surgery*; D008023:Ligaments, Articular / Q000601:surgery; D008297:Male; D008875:Middle Aged; D014954:Wrist Injuries / Q000601:surgery*
Zur Luxation des Handkahnbeins.