Sign in or 
Location: Wrist Measurements
Discussion: wrist measurements
Category:
Discussion Forum /
General Discussion
Share this
Showing 2 posts
PrinceGyimah |
wrist measurements
Dec 15 2009, 9:23 AM EST
I find the education very useful. Case 1 is a real case of accurate positioning and this shows that good positioning can reveal subtle anomalies. However, I would like to point out something concerning case 4. On the lateral view though you indicated correctly that the proximal surface of the lunate was not articulating with the articular surface of the distal radius which you indicated that it was due to previous fracture which is clearly the case. My point is that on the lateral view of the plain film it was clear that the capitate was not articulating with the distal surface of the lunate. Since it was evident even on the plain film, was it still necessary to have gone ahead for CT? Do you find this valuable? |
M.J.Fuller |
2. RE: wrist measurements
Dec 15 2009, 11:06 PM EST
You make a worthwhile point. I suspect that the CT scan was requested by the orthopaedic registrar who may have been concerned that this was a case of transscaphoid perilunate dislocation or that there may have been other hidden fracture(s) . MRI would be more sensitive in revealing trabecular fracture (? Not surgically significant). CT demonstrates cortical fractures of the scaphoid well and, in addition, allows for 3D reconstruction. The fact that there was old-on-new trauma may also have been influential in the decision to perform CT imaging.Thankyou for taking the time to raise this issue. M.J.Fuller Do you find this valuable? |
