Rotary subluxation of the scaphoid - Revisited

The primary significance of traumatic disruption of the scapholunate ligame nts is alteration of radioscaphoid joint mechanics. The term rotary subluxa tion of the scaphoid best describes this condition and was first identified more than 50 years ago. With disruption of the critical ligamentous link b etween the lunate and scaphoid, the distal scaphoid flexes and the proximal pole subluxates dorsally toward the distal radius rim. This article presen ts the authors' current approach to diagnosis and treatment of rotary sublu xation of the scaphoid.