Association of Lunate Morphology With Carpal Instability in Scapholunate Ligament Injury

Hand : Official Journal of the American Association for Hand Surgery
Eric Quan PangRobin N Kamal

Abstract

We examined the relationship between lunate morphology (type 1 without a medial facet; type II with a medial facet) and dorsal intercalated segmental instability (DISI) in patients with scapholunate ligament injuries. We tested the primary null hypothesis that there is no relationship between lunate morphology and development of DISI. Secondary analysis compared the agreement of classifying lunate morphology based on the presence of a medial lunate facet, capitate-to-triquetrum (CT) distance, and magnetic resonance imaging (MRI). We performed a retrospective chart review of patients with known scapholunate ligament injuries from 2001 to 2016. Posterior-anterior radiographs and MRI, when available, were evaluated. CT distances were measured as a secondary classification method. DISI and scapholunate instability were determined as radiolunate angle >15° and scapholunate angle >60°, respectively. Differences between groups were determined using chi-square analysis with significance set at P < .05. Agreement between plain radiographs, MRI, and CT distance was calculated using the kappa statistic. Our search found 58 of 417 patients who met inclusion criteria; 41 of 58 had type II and 17 of 58 had type I lunates. There was no signif...Continue Reading

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Citations

Jul 23, 2020·Hand : Official Journal of the American Association for Hand Surgery·Rachel E HeinMarc J Richard
Aug 19, 2020·Emergency Radiology·Ayooluwa Ibitayo, Nicholas M Beckmann

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