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The scaphoid shift test

L B Lane1

  • 1Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, N.Y.

The Journal of Hand Surgery
|March 1, 1993
PubMed
Summary
This summary is machine-generated.

A new stress test for scaphoid instability is introduced, performed with the wrist in a neutral position. This method actively provokes instability and allows for grading of scaphoid laxity.

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Area of Science:

  • Orthopedics
  • Hand Surgery
  • Biomechanics

Background:

  • Scaphoid instability is a common cause of wrist pain and dysfunction.
  • The Watson test is the current standard for evaluating scaphoid instability, involving specific wrist movements.
  • Limitations of the Watson test exist, necessitating alternative diagnostic methods.

Purpose of the Study:

  • To describe a novel stress test for scaphoid instability.
  • To evaluate the efficacy of a neutral wrist position stress test in provoking scaphoid instability.
  • To establish a method for grading scaphoid laxity.

Main Methods:

  • A new stress test was developed and performed with the wrist in a neutral position.
  • The test actively provokes scaphoid instability.

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  • Variations in provoked stability were used to grade scaphoid laxity.
  • Main Results:

    • The described stress test effectively provokes scaphoid instability.
    • The test allows for objective grading of scaphoid laxity.
    • This method offers an alternative to the traditional Watson test.

    Conclusions:

    • A novel, neutral-position stress test provides an effective means to diagnose and grade scaphoid instability.
    • This test offers a valuable addition to the clinical assessment of scaphoid instability.
    • Further research should validate this technique against existing methods.