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Mar 7 2011, 9:43 PM EST
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Change: This lateral wrist is also not true lateral- the hand is pronated. This position suggests DRUJ subluxation but this appearance was thought to be projectional.
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Oct 1 2010, 6:04 AM EDT
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Change: The patient's right wrist showed clear deformity on examination. Whilst not well demonstrated in the photographs, it was clinically very convincing that the patient had
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Oct 1 2010, 6:00 AM EDT
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Change: The radiographer performed PA and lateral projections of the right wrist. The PA wrist image is unremarkable. The lateral wrist is in a true lateral
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Feb 8 2010, 7:21 AM EST
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AndyC
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Change: Moved by AndyC Feb 8 2010, 7:21 AM EST
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Jul 30 2009, 9:22 AM EDT
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Change: quadratus fat pad.This is a normal lateral wrist (different patient) for comparison.COMPARISONThere is positive ulnar variance. There is a suggestion of a subtle fracture of the distal ulna (arrowed). Normal PA wrist for comparison (different patient). Note the normal ulnar variance.DiscussionIsolated subluxation/dislocation of
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Mar 31 2009, 6:46 AM EDT
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Change: Charles A. Goldfarb, MD, Yuming Yin, MD, Louis A. Gilula, MD, Andrew J. Fisher, MD and Martin I. Boyer, MDWhat the Clinician Wants to Know Wrist Fractures: What the Clinician Wants to Know1 Radiology. 2001;219:11-28.adapted from Charles A. Goldfarb, MD, Yuming Yin,
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Mar 31 2009, 5:14 AM EDT
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Change: quoted from http://www.radiologyassistant.nl/en/476a23436683bCase 1This 45 year old lady presented to the Emergency Department after falling onto her wrist. There is overlap of the distal radio-ulnar joint. There is also a moderate degree of positive ulnar variance.The position of the ulna on this oblique wrist view is unusual.
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Mar 31 2009, 5:13 AM EDT
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Change: position using the criteria described above. The ulna is subluxed dorsally. For this position of the ulna to be positional/projectional, you would expect the wrist to be in an oblique position. There is possibly obliteration of the pronator quadratus.This is a normal lateral wrist (different patient) for comparison.COMPARISON
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Mar 31 2009, 3:24 AM EDT
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Change: ulnaulna has convex articular surface; this articulates with the concave semicylindrical sigmoid notch of radius.The important stabilizers of the distal radio-ulnar joint include all of the separate structures composing the triangular fibrocartilage complex. Of great clinical importance is the fact
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Mar 30 2009, 7:34 PM EDT
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Change: The positive ulnar variance was a firm and consistent sign of wrist injury in the 2 cases. If the radiographer has identified the possibility of a DRUJ injury, appropriate supplementary views, including a PA and/or lateral view of the contra-lateral wrist, may be useful....back to the Applied Radiography
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Mar 30 2009, 7:30 PM EDT
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Change: This is a mixed AP/lateral view of the forearm- the elbow is AP and the wrist is lateral. This is not ideal positoning for forearm
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Mar 30 2009, 8:58 AM EDT
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Change: position of the ulna? DiscussionIsolated subluxation/dislocation of the DRUJ is an easily missed diagnosis. If the radiographer has identified the possibility of a DRUJ injury, appropriate supplementary views, including a lateral view of the contra-lateral wrist, may be useful....back to the Applied Radiography home page
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Mar 30 2009, 8:52 AM EDT
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Change: variance.The position of the ulna on this oblique wrist view is unusual.The ulna appears to be subluxed in a volar direction. The wrist is minimally dorsally rotated off lateral as evident by the psoition of the pisiform. Is this sufficient to account for the position of the ulna?
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Mar 30 2009, 8:41 AM EDT
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Change: A study of the role of the interosseous membrane in the stability of the DRUJ reported the following Radiographic Features of DRUJ Subluxation - widening of RU joint on AP view; - fracture (or non union) at base of ulnar styloid; - significant shortening of the radius; -
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Mar 30 2009, 8:16 AM EDT
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Change: process overlies the proximal pole of the scaphoid, lunate, and triquetrum; - when proper positioning is ensured, dorsal or volar subluxation is noted by the relative position of the ulna above or below the radius;http://www.wheelessonline.com/ortho/radial_ulnar_joint_instability CasesCase 1
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Mar 30 2009, 8:15 AM EDT
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Change: Renamed from Dislocation of the distal radioulnar joint by Mar 30 2009, 8:15 AM EDT for: Rename
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Mar 30 2009, 8:15 AM EDT
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Change: - it is essential that the lateral view be taken w/ proper technique so that the radial styloid process overlies the proximal pole of the scaphoid, lunate, and triquetrum; - when proper positioning is ensured, dorsal or volar subluxation
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Mar 30 2009, 8:08 AM EDT
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Change: Locked by Mar 30 2009, 8:08 AM EDT for: no reason given
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Mar 30 2009, 8:08 AM EDT
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Change: The flat pronator quadratus muscle originates from a long, narrow strip of the volar aspect of the distal part of the ulna and has a
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Mar 30 2009, 7:56 AM EDT
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Change: Created by Mar 30 2009, 7:56 AM EDT for: no reason given
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