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Wrist
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Wrist

Anatomy: Proximal row: Scaphoid, Lunate, Triquetrum, Pisiform Distal row: Trapezium, Trapezoid, Capitate, Hamate Negative Ulnar variance: Short ulna, associated w/ Kienbock disease (schaphoid AVN) Positive Ulnar variance: Long ulna, scapholunate instability, TFCC tear, Ulnar impaction sy, previous radial head resection, aging Wrist dislocations: Scapholunate dissociation: rupture of scapholunate ligament, > 3 mm gap (Terry-Thomas, David Letterman sign) Perilunate dislocation: Capitate dislocated dorsally (capitolunate ligament disruption), lunate maintains normal articulations with radius, lateral view Midcarpal dislocation: rupture of triquetral ligaments, capitate and carpus dislocated dorsally Lunate dislocation: Lunate dislocates volarly, Capitate aligned with radius VISI: Volar Intercalated Segment Instability DISI: Dorsal Intercalated Segment Instability SLAC: Scapholunate Advanced Collapse CPPD OA (Calcium Pyrophosphate dihydrate)