Orthonotes
Orthonotes
by the.bonestories
v4.1 Fusion X
v4.1 Fusion X
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Scapho-Lunate Instability

Most common carpal instability; due to disruption of scapholunate ligament. Clinical: wrist pain, weakness, clicking; positive Watson’s test. Radiology: gap >3 mm (‘Terry Thomas sign’), DISI deformity. Acute injury—repair; chronic—reconstruction or salvage (four-corner fusion). Untreated cases progress to SLAC wrist (Scapholunate Advanced Collapse).