Recognition and treatment of uncommon carpal fractures.

Abstract:

:Fractures of the trapezial ridge, hamate hook, and pisiform are often due to isolated, direct injury, but other carpal bone fractures are seldom isolated injuries. Midcarpal fractures should stimulate a search for associated perilunate injury; distal carpal row fractures suggest carpometacarpal fracture--dislocations or subluxations. Crush injury with fracture of the hamate, triquetrum, or trapezium may indicate an axial subluxation of the ulnar or radial carpus. Bone scans can be useful as a screening tool. Diagnosis will often require special radiographic techniques such as tomography. Carpal bone fractures are usually intra-articular, and treatment should be aimed at restoring joint congruity. Small extra-articular fractures and injuries to the pisiform can be successfully treated with excision.

journal_name

Hand Clin

journal_title

Hand clinics

authors

Failla JM,Amadio PC

subject

Has Abstract

pub_date

1988-08-01 00:00:00

pages

469-76

issue

3

eissn

0749-0712

issn

1558-1969

journal_volume

4

pub_type

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