Results A 15 yo boy was referred to Rheumatology for left wrist swelling. His past medical history was unremarkable until 8 months prior when he began to have significant pain and progressive swelling of the left wrist. He was initially diagnosed with a fracture of the scaphoid bone for which he was casted for 2 months. After the cast was removed, the patient noticed that his symptoms persisted...

Skeletal maturity is assessed visually by comparing hand radiographs to a standardized reference image atlas. Most common are the methods by Greulich & Pyle and Tanner & Whitehouse. For computer-aided diagnosis (CAD), local image regions of interest (ROI) such as the epiphysis or the carpal areas are extracted and evaluated. Heuristic approaches trying to automatically extract, measure and clas...

Multicentric osteolysis, nodulosis, and arthropathy (MONA) syndrome is one of the rare genetic skeletal dysplasias, inherited as an autosomal recessive disorder, which predominantly involves carpal tarsal bones with characteristic osteolytic lesions can be misdiagnosed juvenile idiopathic arthritis or rheumatoid arthritis. MONA includes diseases involving two genes: matrix metalloproteinase 2 (...

BACKGROUND The scaphoid bone is the most commonly fractured of the carpal bones. In the Netherlands 90% of all carpal fractures is a fracture of the scaphoid bone. The scaphoid has an essential role in functionality of the wrist, acting as a pivot. Complications in healing can result in poor functional outcome. The scaphoid fracture is a troublesome fracture and failure of treatment can result ...

osteoid osteoma is a unique benign primary bone tumor that may present in the metaphyseal diaphyseal areas of the short tubular bones and has also been reported in the carpal bones. it occurs in the first two decades of life. the classic history is bone pain, often relieved by aspirin. the clinical appearance is local swelling and tenderness. the typical radiographic appearance is very characte...

UNLABELLED Wrist stabilization is ensured by the complex of stabilizers, both static (intrinsic and extrinsic ligaments) and dynamic ones (flexor and extensor sinews of the wrist). Extrinsic carpal ligaments link both carpal rows with forearm, while the intrinsic ones connect individual carpal bones. From among intrinsic ligaments, the most significant from clinical point of view is scapholunat...

A 13-year-old girl presented with a 5-month history of right (dominant) wrist pain that resulted from a forced dorsiflexion-type injury. She experienced progressive discomfort in the wrist that subsequently was associated with stiffness and weakness. The pain persisted even though she curtailed her sporting activities, and it became progressive and disabling. She had no history of a fracture or...