Rowan CH, Downing ND. BMJ Case Rep 2017. doi:10.1136/bcr-2017-221041 Description Perilunate dislocations are uncommon high-energy injuries which are missed in approximately 25% of cases on initial presentation. We present the X-rays of a 25-year-old man who fell from a height of approximately 2 metres onto an extended wrist. Plain radiographs (figure 1) show classical signs of a trans-scaphoid ...

The human carpal bones, as in most mammals, are usually eight in number, and develop from a common embryological origin by the eighth week of intrauterine life 1. Failure of separation during this development leads to the phenomenon of carpal coalition. The prevalence of the anomaly is uncertain as it is usually asymptomatic 2. Individual cases have been reported which have presented as unusual...

We reviewed 10 patients with symptomatic malunion of a carpal scaphoid fracture. All had displacement with dorsiflexed intercalated segment instability, and suffered from pain, restricted range of movement at the wrist and decreased grip strength. The restriction of flexion-extension and the decreased grip strength correlated with the severity of the DISI deformity. Seven patients had a correct...

Complete, displaced radial fractures carry a poor prognosis in adult horses. In foals and ponies, fracture repair may have good outcome following internal fixation. Distal are difficult to stabilise due limited bony purchase. Therefore, carpal arthrodesis provide viable option for salvaging the horse. this report, we describe pan-carpal as treatment distal an pony. A 12-year-old pony, 180 kg bo...

– should lunate fixation have been performed at the primary operation? Take home message: • Paediatric carpal fractures are rare and are commonly missed and possible underestimated. • No evidence exists on the specific management of paediatric lunate fractures and asymptomatic non-union in these patients. • No long term studies provide the possible sequelae of carpal fracture non-union in child...

The wrist is a region that is very vulnerable to injuries of the extremities. Among these injuries, fractures of the pyramidal bone (or triquetrum) in association with dislocation of the hamate and carpal instability are uncommon. They are generally correlated with high-energy trauma and may be associated with neurovascular deficits, muscle-tendon disorders, skin lesions or injuries to other ca...

The aim of this study is to confirm the accuracy of sonography in the diagnosis of the carpal tunnel syndrome by measuring the cross-section area of the median nerve. A prospective study of 80 patients suspected of having carpal tunnel syndrome was underwent sonography at Al-Hussein Teaching Hospital in Samawa city from 1/1/2015 to 1/1/2016. The cross sectional area of the median nerve was meas...

Suspicion of scaphoid fracture is a common topic in emergency medicine. If the radiograph is inconclusive, or there are typical symptoms suggestive of a scaphoid fracture despite a negative radiograph, further investigation with cross-sectional imaging is advocated. Because of its availability, computed tomography (CT) is the primary imaging method in most departments. In recent meta-analyses, ...

Two Types of Fracture There' are roughly two main types of fracture of the waist of the carpal scaphoid. In type I there is a crack in the bone with negligible or no displacement, whilst in type II fractures there is an appreciable gap and some degree of displacement. The prognosis is best in type I and frequently the cartilage over the fracture line is intact. McLaughlin (1954) decided to trea...