Volar Intercalated Segmental Instability

It consists of volar flexion of the lunate relative to the longitudinal axis of the radius and capitate, when the wrist rests during a neutral position; lunate will tend to flex when there's loss of ulnar support from the triquetrum; may result from disruption of radial carpal ligaments on ulnar side of wrist & is characterized by scapholunate angle < 30 deg;volar flexion instability pattern is typically associated w/ triquetrolunate dissociation or triquetral-hamate instability;the dorsal-radial-triquetral and triquetro-scaphoid ligaments have a rise space between them;see: ligaments of the wrist.

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