Scapholunate advanced collapse
Alerts and Notices
Synopsis
Causes / typical injury mechanism: Chronic, untreated scapholunate interosseous ligament injuryClassic history and presentation: Although not always symptomatic, patients usually present with wrist pain, aggravated by heavy or repetitive use; decreased range of motion; and grip weakness. Patients may experience pain with activities such as pull-ups and pushing themselves up out of a seated position. There may be a remote history of acute or repetitive trauma to the hand, wrist, or forearm, although nontraumatic etiologies also exist.
Prevalence:
- Age – Mean age 53 years
- Sex / gender – 4:1 male to female ratio
- Manual laborer
- History of wrist trauma
Grade / classification system: Watson classification (radiographic classification schema) –
- Grade 1: Osteoarthritis between the radial styloid and scaphoid
- Grade 2: Osteoarthritis of the entire scaphoid fossa
- Grade 3: Osteoarthritis of the scaphoid fossa and capitolunate joint
Codes
ICD10CM:M19.039 – Primary osteoarthritis, unspecified wrist
SNOMEDCT:
447775001 – Scapholunate advanced collapse
Look For
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
- Scaphoid fracture
- Scaphoid nonunion advanced collapse
- Lunate fracture / dislocation
- Distal radial fractures
- Septic arthritis
- Gout
- Pseudogout (see calcium pyrophosphate deposition disease)
- Rheumatoid arthritis
- Tear of the triangular fibrocartilage complex
Best Tests
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Management Pearls
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Therapy
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References
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Last Reviewed:06/07/2022
Last Updated:06/14/2022
Last Updated:06/14/2022
Scapholunate advanced collapse