- this manuever helps diagnose SLD but the test is not specific for SLD, because it may reposition entire proximal carpal row if row, rather than the scaphoid;
- manipulation of scaphoid by examiner may reproduce pt's sensation of instability or even cause subluxation of proximal pole of the scaphoid;
- dorsal displacement of proximal pole with radial deviation, with passive radioulnar wrist movement when the scaphoid is immobilized volarly;
- as scaphoid flexes to a more vertical orientation w/ radial deviation, tuberosity omopression forces proximal pole subluxation dorsal to lip of radius;
- Technque: (same as Scaphoid Shift)
- maneuver is performed by placing the examiner's thumb over palmar aspect of the distal pole of the scaphoid;
- constant pressure is maintained w/ examining thumb as wrist is moved from position of extension, ulnar deviation to flexion, radial deviation, and back again;
- dorsal wrist pain or a clunk may indicate instability of scapholunate ligament
The scaphoid shift test.
Original Text by Clifford R. Wheeless, III, MD.
Last updated by Data Trace Staff on Wednesday, December 12, 2012 3:24 pm