{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:41:39Z","timestamp":1787755299319,"version":"build-2784847793"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Women can have manifestations of pregnancy and lactation-related ligamentous laxity, including scapholunate instability, which may spontaneously resolve upon cessation of lactation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.16.00268","type":"journal-article","created":{"date-parts":[[2017,8,8]],"date-time":"2017-08-08T15:37:53Z","timestamp":1502206673000},"page":"e54-e54","source":"Crossref","is-referenced-by-count":4,"title":["Pregnancy-Related Ligamentous Laxity Mimicking Dynamic Scapholunate Instability"],"prefix":"10.2106","volume":"7","author":[{"given":"Emily K.","family":"Miller","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miho J.","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawn M.","family":"LaPorte","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casey Jo","family":"Humbyrd","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,8,10]]},"reference":[{"issue":"4","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1016\/j.jhsa.2004.02.011","article-title":"The incidence of wrist interosseous ligament and triangular fibrocartilage articular disc disruptions: a cadaveric study","volume":"29","author":"Lee","year":"2004","journal-title":"J Hand Surg Am."},{"issue":"3","key":"bib2-20230712","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1016\/j.hcl.2015.04.013","article-title":"Chronic scapholunate ligament injury: techniques in repair and reconstruction","volume":"31","author":"Michelotti","year":"2015","journal-title":"Hand Clin."},{"issue":"11","key":"bib3-20230712","doi-asserted-by":"crossref","first-page":"691","DOI":"10.5435\/JAAOS-D-14-00254","article-title":"Injuries of the scapholunate interosseous ligament: an update","volume":"23","author":"White","year":"2015","journal-title":"J Am Acad Orthop Surg."},{"key":"bib4-20230712","first-page":"46","article-title":"Differences in men\u2019s and women\u2019s mean ankle ligamentous laxity","volume":"20","author":"Wilkerson","year":"2000","journal-title":"Iowa Orthop J."},{"issue":"6","key":"bib5-20230712","doi-asserted-by":"crossref","first-page":"297","DOI":"10.7547\/87507315-75-6-297","article-title":"Physiologic changes in the foot during pregnancy","volume":"75","author":"Block","year":"1985","journal-title":"J Am Podiatr Med Assoc."},{"issue":"2","key":"bib6-20230712","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1136\/ard.41.2.126","article-title":"Changes in joint laxity occurring during pregnancy","volume":"41","author":"Calguneri","year":"1982","journal-title":"Ann Rheum Dis."},{"issue":"2","key":"bib7-20230712","first-page":"331","article-title":"Characterization of the relationship between joint laxity and maternal hormones in pregnancy","volume":"101","author":"Marnach","year":"2003","journal-title":"Obstet Gynecol."},{"issue":"1","key":"bib8-20230712","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1097\/00007632-199301000-00010","article-title":"Influence of some biomechanical factors on low-back pain in pregnancy","volume":"18","author":"Ostgaard","year":"1993","journal-title":"Spine (Phila Pa 1976)."},{"issue":"3","key":"bib9-20230712","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/j.hcl.2015.04.008","article-title":"Open treatment of acute scapholunate instability","volume":"31","author":"Swanstrom","year":"2015","journal-title":"Hand Clin."},{"issue":"1","key":"bib10-20230712","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1210\/jcem-15-1-22","article-title":"The concentration of relaxin in the blood serum and other tissues of women during pregnancy","volume":"15","author":"Zarrow","year":"1955","journal-title":"J Clin Endocrinol Metab."},{"issue":"5","key":"bib11-20230712","doi-asserted-by":"crossref","first-page":"313","DOI":"10.2165\/00007256-200029050-00003","article-title":"Neuromuscular and hormonal factors associated with knee injuries in female athletes. 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