Pregnancy-related ligamentous laxity mimicking dynamic scapholunate instability: A case report

Emily K. Miller, Miho Tanaka, Dawn Mitzner Laporte, Casey Humbyrd

Research output: Contribution to journalArticlepeer-review

Abstract

Case: A 29-year-old woman presented with spontaneous, isolated, total palmar scaphoid subluxation in the left hand approximately 6 weeks postpartum. She had a positive Watson scaphoid shift test, with an easily subluxable and reducible scaphoid unilaterally. She was diagnosed with scapholunate ligamentous laxity with dynamic instability. Approximately 4 months after stopping lactation, she had complete resolution of the scapholunate subluxation; there was no recurrence of symptoms over the next 5 years of follow-up. Conclusion: Women can havemanifestations of pregnancy and lactation-related ligamentous laxity, including scapholunate instability, which may spontaneously resolve upon cessation of lactation.

Original languageEnglish (US)
Article numbere54
JournalJBJS Case Connector
Volume7
Issue number3
DOIs
StatePublished - Jan 1 2017

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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