Background Scaphoid fractures are common carpal fractures that are often misdiagnosed as wrist sprains and may go on to nonunion. The location of the fracture site may influence the stability of scaphoid nonunions. Purpose To determine whether the stability of a scaphoid nonunion depends upon the fracture's location, we tested the hypothesis that a simulated fracture distal to the apex of the s...

SUMMARY Congenital carpal coalitions are rare conditions that arise from a failure or an incomplete cavitation of a common cartilaginous precursor of the carpal bones between the fourth and eighth week of intrauterine life. The incidence of coalitions has been estimated to occur in about 0.1% of the population and up to 1.6% in people of African descent. This study reports a case of trans-scaph...

DOI: 10.3760/cma.j.issn.1008-1275.2011.01.001 Department of Trauma and Orthopaedic Surgery, F. Bourguiba University Hospital, 5000 Monastir, Tunisia (Hamdi MF) Corresponding author: Tel: 216-99-831-236 / 216-984 08 -3 86 , Fax: 21 6-73 -4 6 0-67 8, E m ai l: h am di. [email protected] 【Abstract】Volar perilunate fracture dislocation is an extremely rare carpal injury, but associated with metaca...

The stability of the wrist during motion and interrelated motions depends on the capsuloligamentous integrity and the contact surface contours of the carpal bones [1]. Perilunate fracture dislocations (PLFD) are high-energy injuries, produced by wrist hyperextension. It can be palmar or dorsal. Palmar dislocation is extremely rare and result from a fall on the dorsum of the flexed wrist. This i...

Carpal injuries are uncommon and are mainly seen in the younger age group. The incidence is unclear as many of the cases go undiagnosed. A 22-year-old male patient coming to the hospital after road traffic accidentwith head, face and left wrist injury. After immediate primary management the patient was taken up for a definitive procedure 4 days after the injury. Scaphoid fracture was fixed with...

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...

In an earlier study we have proposed a scaphoid decision-protocol in order to improve diagnostic accuracy in case of suspected scaphoid fractures. This pilot study evaluated this protocol. In this pilot study (n = 31) most cases with clinical suspicion of scaphoid fractures reached a positive test result on the combined 7 clinical tests (93.5%). Using this test combination, no scaphoid fracture...