Table 1.
Subject | Age, y | Sex (M/F) | Prior Surgery | Symptoms at Time of 4DCT | X-ray Findings | Clinical Question | 4DCT Maneuvers | Relevant Findings | Final Disposition |
---|---|---|---|---|---|---|---|---|---|
Volunteer | 18 | M | None | None | None | None | F-X S-P R-U | Normal | Normal |
Patient 1 | 62 | M | ORIF of distal radius fracture and SL ligament repair | Normal postoperative stiffness, no pain | Mild SL diastasis on supinated clenched fist view | ? SL instability | F-X S-P Dart | No kinematic instability | 1 year follow-up from surgery-well healed with no instability |
Patient 2 | 50 | F | ORIF distal radius fracture and SL ligament repair | Normal postoperative stiffness, no pain | Mild SL diastasis on supinated clenched fist view | ? SL instability | F-X S-P Dart | No kinematic instability | 4 months follow-up from surgery-well healed with no instability |
Patient 3 | 30 | M | ORIF distal radius fracture and SL ligament repair | Normal postoperative stiffness, no pain | Mild SL diastasis on supinated clenched fist view | ? SL instability | F-X S-P Dart Clenched fist | No kinematic instability | 6 months follow-up from surgery-well healed with no instability |
Patient 4 Right Wrist | 45 | M | None | Diffuse wrist pain, worse with motion | Ulnar subluxation of carpus on outside X-rays | ? Ulnocarpal impaction | F-X R-U Clenched fist | Dynamic ulnocarpal abutment on radial deviation and relaxed phase of clinched fist motion | Surgical fixation planned |
Patient 4 Left Wrist | 45 | M | None | Diffuse wrist pain, worse with motion | Ulnar subluxation of carpus on outside X-rays | ? Ulnocarpal impaction | F-X R-U Clenched fist | Dynamic ulnocarpal abutment on radial deviation and relaxed phase of clinched fist motion | Surgical fixation planned |
Dart indicates darth throwing motion; F-X, flexion-extension; ORIF, open reduction internal fixation; R-U, radial-ulnar deviation; S-P, supination-pronation; SL, scapholunate; ?, questionable.