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David Letterman Sign
(redirected from Scapholunate Dissociation)

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David Letterman Sign
A finding on a plain film of the wrist characterised by a marked widening (a gap of 3 mm or more) of the joint space between the scaphoid and lunate, which is seen in patients with rotatory subluxation of the scaphoid (scapholunate dislocation). Untreated, the subluxation is associated with chronic wrist pain and disability. The widened space has been fancifully likened to the dental diastema (gap teeth) of American talk show host David Letterman, as well as American model Lauren Hutton and British comedian Terry Thomas, for whom it was originally named


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36) Tang and associates (36) reported on 20 of 424 consecutive patients with fractures of the distal radius who presented with evidence of scapholunate dissociation on radiographs and traction-view fluoroscopy.
Watson and coworkers found that 95% of all degenerative changes are centered around the scaphoid, mostly due to late sequelae of scapholunate dissociation or chronic scaphoid nonunion, termed SLAC (scapholunate advanced collapse) and SNAC (scaphoid nonunion advanced collapse) wrist.
 
 
 
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