Rotary subluxation of the scaphoid: a spectrum of instability

J Hand Surg Br. 1993 Feb;18(1):62-4. doi: 10.1016/0266-7681(93)90199-p.

Abstract

Rotary subluxation of the scaphoid is not an "all or nothing" phenomenon, but a spectrum of instability including constant displacement of the scaphoid apparent on plain non-stress radiographs (the previously defined static type), subluxation seen only on loading X-rays or other special studies ("dynamic"), and instability demonstrable on physical examination but not by radiographic studies ("predynamic"). A clinical study of 1,000 random individuals was carried out to determine the incidence of unilateral hypermobility of the scaphoid. 21% of the subjects were found to have an abnormal difference in mobility between their scaphoids. The incidence of significant symptoms and physical findings associated with this hypermobility was determined.

MeSH terms

  • Adult
  • Carpal Bones / injuries*
  • Female
  • Humans
  • Incidence
  • Joint Dislocations / diagnostic imaging*
  • Joint Dislocations / epidemiology
  • Joint Instability / diagnostic imaging*
  • Joint Instability / epidemiology
  • Ligaments, Articular / injuries*
  • Male
  • Radiography
  • Wrist Injuries / diagnostic imaging*
  • Wrist Injuries / epidemiology
  • Wrist Joint / diagnostic imaging*