Accuracy of simple plain radiographic signs and measures to diagnose acute scapholunate ligament injuries of the wrist

Conclusions In the era of computed tomography and magnetic resonance imaging, plain radiographs remain a highly sensitive and specific primary tool to triage patients with a suspected SL tear to further diagnostic work-up and surgical care. Key Points • Scapholunate ligament (SL) lesions are the most relevant soft tissue wrist injuries. • Missed and untreated SL ruptures can cause painful and disabling post-traumatic wrist osteoarthritis. • Reliable threshold values of radiographic indices should prompt further imaging or surgical care. • Plain radiographs deliver conclusive clinical information if certain hand positions are used.
Source: European Radiology - Category: Radiology Source Type: research