Wrist cases

Question 1

Answer 1

Ulnolunate impaction

Answer 2

Question 3

Answer 3

Question 4

Answer 4

TFCC tear

Question 5

Answer 5

SLAC wrist

SLL tear and cartilage loss at the scaphoradial and capitolunate articulations (pattern of cartilage loss in a SLAC writst)

Question 6

Answer 6

Question 7

Answer 7

Intersection syndrome (“De quiervain tenosynovitis)

Tenosynovitis at 1st extensor compartment (APL and EPB) crossing over the 2nd extensor compartment (ECRL and ECRB)

**will always occur 4cm proximal to the wrist (where the 1st and 2nd extensor compartments intersect)

Question 8

Answer 8

Question 9

Answer 9

Non displaced scaphoid waist fx

Question 10

Answer 10

Question 11

Answer 11

Kienbock’s disease: AVN of the lunate

associated with negative ulnar variance.

Question 12

Answer 12

Question 13

Diagnosis and what is the tx?

Answer 13

Ulnolunate impaction syndrome 2/2 remote radial fracture resulting in shortening of the radius and acquired positive ulnar variance

Treatment: ulnar osteotomy to restore normal ulnar variance

Question 14

Answer 14

Scaphoid waist fx

Question 15

Answer 15

Keinbock’s disease: AVN of the lunate.

Thought to be due to negative ulnar variance resulting in microshearing forces across the lunate.

Question 16

Answer 16

Question 17

Answer 17

Question 18

Cheerleader with wrist px

Answer 18