Injuries to the wrist often present problems of accurate diagnosis and effective treatment (MacAusland 1944, B#{246}hler1956, Cave 1958, Aitken and Nalebuff 1960). Those associated with fractures are usually demonstrated by proper radiographs, but even these injuries may be missed (Soto-Hall and Haldeman 1941, Speed 1950). Dislocation of the scaphoid bone may occur after apparently successful r...

The objective of this study is to do a meta-analysis of the literature and compare the safety and efficacy of endoscopic carpal tunnel release (ECTR) and open carpal tunnel release (OCTR) for idiopathic carpal tunnel syndrome (CTS). A comprehensive literature search of the electronic databases MEDLINE, EMBASE, Google Scholar, and the Cochrane Controlled Trial Register was undertaken for randomi...

Recent external studies find that the Bureau of Labor Statistics (BLS) Survey of Occupational Injuries and Illnesses (SOII), based on employers' OSHA logs, substantially underestimates the US total number of workplace injuries and illnesses. This paper describes four dimensions of the undercount allegations and summarizes the recent studies, which have largely compared aggregate or case-level d...

Wrist injuries and carpal instability may result from various sport-related acitivites. Lunotriquetral instability (LTI) is an infrequently recognized cause of wrist pain in athletes. The diagnosis of LTI through history and physical examination can be confirmed by Magnetic Resonance Arthrogram (MRA). This case report describes a case of clinically suspected LTI confirmed by MRA. Relevant liter...

In the recent years sport climbing has become more and popular. As an extreme sport, it is prone to a high degree of injury risk. A particular body part exposed injuries upper extremity. The aim this study was assess number types hands and/or wrists in regular climbers. conducted on group 468 criterion for inclusion regularity trainings, training internship at least 1 year minimum difficulty co...

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...

Hand is extremely exposed to various loads and traumas of everyday tasks and activities, resulting in fist fractures being fairly common injuries. The most common mechanism of injury is a direct blow. This retrospective study analyzed the data on 274 children admitted for hand fractures at Clinical Hospital Center Zagreb in the period from 2006 to 2014. The study included 76 girls (28%) and 198...

Although one-eighth to one-tenth of all fractures of the wrist are carpal fractures, they may be overlooked, unless attention is directed particularly to them in diagnostic examination. Symptoms may be slight or lacking, but diagnosis is important because such injuries may give rise to pain or disability later. There are certain guides and procedures in physical and roentgenographic examination...

A consecutive series of 100 cases of wrist injury, other than those referred with a radial fracture, have been reviewed to determine the incidence of acute scapholunate instability; a "clenched fist" radiograph was used in addition to the routine scaphoid views. Of 19 patients with an increase in the scapholunate gap, five were eventually considered to have significant scapholunate instability,...

Diagnosis of upper extremity injuries depends on knowledge of basic anatomy and biomechanics of the hand and wrist. The wrist is composed of two rows of carpal bones. Flexor and extensor tendons cross the wrist to allow function of the hand and digits. The ulnar, median, and radial nerves provide innervation of the hand and wrist. A systematic primary and secondary examination of the hand and w...