Scapholunate Ballottement Test

What are scapholunate ligament injuries?

Scapholunate ligament injuries involve damage to the ligament connecting the scaphoid and lunate bones in the wrist. This ligament is crucial for maintaining proper motion and stability in the wrist joint. Injuries can lead to instability, chronic wrist pain, and a reduced range of wrist motion.

Common symptoms

Symptoms of scapholunate ligament injuries can vary depending on the severity and location of the injury. Some common symptoms include:

• Persistent wrist pain
• Swelling around the wrist
• Decreased range of motion
• Sensation of wrist giving way during use

Common causes

Scapholunate ligament injuries can be caused by a variety of factors, including:

• Traumatic injuries such as falls or direct blows to the wrist
• Repetitive stress leads to wear and tear
• Degenerative joint changes

What is the Scapholunate Ballottement Test?

The Scapholunate Ballottement Test is a physical examination technique used to diagnose instability in the wrist joint. It specifically tests for instability between the scaphoid and lunate bones, which are two of the eight carpal bones in the wrist.

The test is performed by a healthcare professional, usually an orthopedic specialist or hand therapist. It involves applying pressure to the scaphoid bone and observing its movement in relation to the lunate bone. If there is excessive movement between these two bones, it indicates that there may be ligament damage or other issues causing instability in the wrist joint.

How to use our Scapholunate Ballottement Test template

Our template guides clinicians through the step-by-step process of conducting the Scapholunate Ballottement Test. It provides sections documenting patient details, test findings, and clinical observations critical for diagnosis and subsequent management plans.

1. Document patient information: The template includes sections to enter patient details such as name, age, medical history, and specific symptoms of the wrist injury. This initial information sets the stage for a focused examination.
2. Conduct the test: Follow the structured steps outlined in the template to perform the Scapholunate Ballottement Test. This includes positioning the patient’s wrist, applying pressure to assess for gapping or instability between the scaphoid and lunate, and observing any signs of discomfort or pain.
3. Record findings: Document the test results using the designated areas in the template. Note any positive indicators of ligament injury, such as noticeable gapping or pain elicited during pressure application.
4. Plan subsequent management: Based on the findings, outline the next steps in the patient's management plan. This could involve recommendations for further diagnostic imaging, referral to a specialist, or immediate treatment options.