A 45-year-old woman presented to the emergency department with left wrist pain following a fall. Physical exam was remarkable for soft tissue swelling of the palmar and dorsal hand, point tenderness at the base of the second metacarpal, and limited active range of motion. Three-view wrist radiographs showed significant soft tissue swelling without evidence of fracture or dislocation. Computed t...

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...

To the Editor: We read with great interest the article “Evaluation of associated carpal bone fractures in distal radial fractures” by Heo et al. We would like to congratulate the authors for this study. However, the article left a few seminal questions unaddressed that we would like to draw the authors’ attention to. The authors mentioned that out of 223 fractures of the distal end of the radiu...

BACKGROUND *Equal contributors.Planar bone scintigraphy (PBS) is often advocated for diagnosing occult scaphoid fractures. PBS is a sensitive diagnostic modality, but lacks specificity, which may result in over-diagnosis. PURPOSE To examine, in a pilot study, the potential additional value of single photon emission computed tomography (SPECT) combined with low dose computed tomography (CT) fo...

INTRODUCTION Carpal instability is broad category consisting of various patterns of injury, with dissociative type more common. CASE REPORT A 13 -year -old boy presented at 6 months following a fall with restriction of wrist movements. Patient had sustained a closed distal one -third both bones fracture forearm fixed with K -wire, and volar lunate instability was found during sequential follo...

Stress fracture of the capitate reports A 42-year-old male physical exercise teacher presented to his general practitioner (GP) with a 4-month history of bilateral wrist pain. He was unable to recall any specific episode of trauma, but the nature of his work as a gymnastics teacher required repeated dorsiflexion of both wrists. The pain was enough to keep him awake at night and he had developed...

Hamate fracture represents a small percentage of all carpal bone fractures [1], it is rare to the point that the incidence of its subtypes was not established. Hamate fractures with dislocation of fifth metacarpal are frequently missed by conventional x-rays, they need special views to be diagnosed, and the fracture architecture is best seen on three dimensional computed tomography (3D CT scan)...

Scaphoid stress fractures are rare and can be a cause of wrist pain in sportspersons. All the cases reported in the literature have been sportspersons. Missing a scaphoid stress fracture could lead to non-union of the scaphoid and early degenerative arthritis of the radio-carpal joint. This can cause chronic wrist pain and can reduce the career span of a sportsperson. We report a case of non un...

Health care-related costs have been the focus of intense scrutiny in politics and in the media. However, public perception of physician reimbursement is poorly understood. The purpose of this study was to determine patient perception of physician reimbursement for 2 common hand surgery procedures: carpal tunnel release and open reduction and internal fixation of a distal radius fracture. Anonym...