Trans-scaphoid perilunate fracture dislocations, which account for more than half of total cases injuries, are common in young patients and occur as a result high-energy improper management can impair wrist alignment function. Understanding the related anatomy pathomechanics may help surgeons evaluate diagnose patients. Early operation to reduce fix injuries should be considered achieve optimal...

Patients with wrist pain commonly present with an acute injury or spontaneous onset of pain without a definite traumatic event. A fall onto an outstretched hand can lead to a scaphoid fracture, which is the most commonly fractured carpal bone. Conventional radiography alone can miss up to 30 percent of scaphoid fractures. Specialized views (e.g., posteroanterior in ulnar deviation, pronated obl...

UNLABELLED Imaging protocols for suspected scaphoid fractures among investigators and hospitals are markedly inconsistent. We performed a systematic review and meta-analysis to assess and compare the diagnostic performance of bone scintigraphy, MRI, and CT for diagnosing suspected scaphoid fractures. Twenty-six studies were included. Sensitivity, specificity, and diagnostic odds ratio were pool...

Introduction Scaphoid fractures are the most common type of hand fracture. Traditionally, non-displaced fractures of the scaphoid have been treated conservatively, with the immobilisation of the hand with a cast; hence, surgical fixation of the fracture has become increasingly popular because of quicker re-mobilisation and return to its original function. However, this was balanced against the ...

Fractures which unite Nearly 90% of scaphoid fractures unite with conservative treatment2,3 and the overall clinical impression is that patients continue to progress well and remain free of symptoms. However, they are rarely followed up after the fracture has united. Dias, Brenkel and Finlay4 followed up patients for between 1.7 and 2.6 years and found that 20% had some pain and 19% tenderness,...

To cite: Kumar S, Ayachit A, Varman M, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-208578 DESCRIPTION A well-built 31-year-old man presented with deformity and restricted movements of the left wrist joint. He gave a history of injury due to a fall 8 months earlier, for which he was initially treated with a wrist slab for 3 months. Clinical examina...

Objective: It is essential to have a suitable instrument for accurate assessments of pain and disability outcomes during interventions and to guide hand surgery and rehabilitation programs in distal radius or scaphoid fracture. This study was designed to evaluate the psychometric features of the Patient-rated Wrist Evaluation (PRWE) questionnaire in Iranian persons with a history of scaphoid an...