Nonsurgical Management

In a scapholunate dissociation, the forces acting upon the scaphoid and lunate are significant and we believe cannot be adequately treated by closed treatment and cast immobilization alone if a DISI exists. Nor do we feel that closed reduction and percutaneous pin fixation is an adequate treatment, although arthroscopic-assisted reduction and percutaneous pin fixation may offer a better assessment of whether or not anatomic reduction is obtained than plane radiographs. If there is no carpal instability, nonsurgical management with immobilization and nonsteroidal antiin-flammatory medications can be beneficial.

Peripheral Neuropathy Natural Treatment Options

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