Fractures of the scaphoid are the most common carpal injuries. Suspected scaphoid injuries make up a large part of the work of an accident and emergency department, and unfortunately make up a significant percentage of litigation claims. Initial radiographs cannot always detect fractures while undisplaced and subsequently untreated fractures may give rise to premature carpal collapse and degene...

Fig. 1. X-ray of left forearm and hand showing osteosclerosis, ‘bone in bone’ appearance of shaft, fracture both bones, fraying and early cupping of metaphysis and widening of ‘physis’, the growth plate and absence of carpal bones. pathological fractures with ‘bone in bone’ appearance, increase in medullary density, defective metaphyseal remodeling with fraying and early cupping and widening of...

Isolated carpal scaphoid dislocations are rare. Because of this, treatment strategies can be conflicting and vague. The current authors present a case of isolated scaphoid dislocation that was treated initially with closed reduction and percutaneous pinning. Failure of this index treatment necessitated open reduction and internal fixation providing an adequate short-term outcome. Current treatm...

“ One consolation only remains, that the limb will at some remote period again enjoy perfect freedom in all its motions and be completely exempt from pain : the deformity, however, will remain undiminished through life.” This was the prognosis given to patients with untreated “ Fractures of the Carpal Extremity of the Radius “ by Abraham Colles in 1814. He then proceeded to describe how the fra...

INTRODUCTION We report the case of a missed fracture through the body of the hamate bone, only detected on a later, mistakenly taken 30° oblique x-ray view. This case highlights some of the problems encountered with traditional x-ray views, and the need to consider oblique views as either standard procedure or as an adjunct where clinical suspicion remains high even in the presence of normal x-...

BACKGROUND To compare risk of carpal tunnel syndrome (CTS) in distal radius fracture (DRF) patients after 7 treatments using bridging external fixation (BrEF), non-bridging external fixation (non-BrEF), plaster fixation, K-wire fixation, dorsal plating fixation, volar plating fixation, and dorsal and volar plating by performing a network meta-analysis. MATERIAL AND METHODS An exhaustive search ...

BACKGROUND Current surgical approaches to the distal radius include dorsal and palmar plate fixation. While palmar plates have gained widespread popularity, few reports have provided data on long term clinical outcomes in comparison. This paper reports the result of a randomised clinical study comparing dorsal Pi plates and palmar, angle-stable plates for treatment of comminuted, intraarticular...

BACKGROUND The purpose of the present study is to report on a cohort of patients with a volar shearing fracture of the distal end of the radius in whom the unique anatomy of the distal cortical rim of the radius led to failure of support of a volar ulnar lunate facet fracture fragment. METHODS Seven patients with a volar shearing fracture of the distal part of the radius who lost fixation of ...

Severe injuries involving the carpus are often characterized by multiple fractures of the various carpal bones with accompanying joint instability. Most such injuries can be managed successfully utilizing aggressive internal fixation techniques, with reasonably good prognosis for a pasture sound animal, satisfactory for breeding purposes. Author’s address: Elgin Veterinary Hospital, Inc., PO Bo...

THE PATIENT A 37-year-old man injured his right wrist in a motor vehicle collision. In the emergency department he had severe wrist pain and median nerve paresthesia. Wrist radiographs identified a dorsal perilunate dislocation (PLD) with the carpus dislocated dorsally and the lunate tilted volar but still located in the lunate fossa. Post-reduction computed tomography scan confirmed no fractures.