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Dorsal intercalated segment instability (disi) is a form of carpal instability featuring dorsal tilt of the lunate He opted for conservative treatment and received splintage for 6 weeks followed by rehabilitation and occupational training for 6 weeks. It occurs mainly after the disruption of the s capholunate ligament and is more often encountered than volar intercalated segment instability (visi).
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Diagnosis of disi deformity can be made with lateral wrist radiographs showing a scapholunate angle > 70 degrees The diagnosis of ligamentous dorsal intercalated segment instability (disi) was made, and the patient was offered arthroscopic repair by the orthopaedics team Treatment of acute sl ligament injuries may be immobilization versus operative repair/reconstruction depending on degree of displacement.
The sl angle is an indicator of dorsal intercalated segment instability deformity (disi)
The sl angle goes between Dorsal intercarpal ligament / dic. This angle can be calculated on mri by adding the dorsal tilt angle of the lunate and the volar tilt angle of the scaphoid relative to vertical While disi is an indicator of a significant sll tear, disi may develop with a completely intact sll in the case of an unstable scaphoid waist fracture.
A disi deformity is a condition in which there is a mutual change in position of two carpal bones in the wrist joint This causes symptoms in the wrist area, particularly when extending the wrist. Disi (dorsal intercalated segment instability) is a wrist condition caused by ligament injury—most often a tear of the scapholunate interosseous ligament (slil) Learn everything you need to know about dorsal intercalated segment instability (disi), a wrist condition caused by scapholunate ligament injury leading to pain, weakness, and eventual arthritis if untreated.
We hypothesized that disi (1) is not produced by isolated sectioning of the slil and (2) requires sectioning of the lrl, stt, or dic ligaments.
