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Complex carpal dissociation with open, complete, and divergent trapezium, capitate, and hamate dislocation: a case report
Journal article

Complex carpal dissociation with open, complete, and divergent trapezium, capitate, and hamate dislocation: a case report

Harvey Chim, Andrew K T Yam, Andrew Y H Chin and Lam Chuan Teoh
The Journal of hand surgery (American ed.), Vol.32(9), pp.1363-1366
2007-11
DOI: https://doi.org/10.1016/j.jhsa.2007.07.025
PMID: 17996770

Abstract

Accidents, Occupational Carpal Bones - diagnostic imaging Carpal Bones - injuries Carpal Bones - surgery Carpal Joints - diagnostic imaging Carpal Joints - injuries Carpal Joints - surgery Debridement Fracture Fixation, Internal Fractures, Bone - complications Fractures, Bone - diagnostic imaging Fractures, Bone - surgery Humans Joint Dislocations - complications Joint Dislocations - diagnostic imaging Joint Dislocations - surgery Ligaments, Articular - diagnostic imaging Ligaments, Articular - injuries Male Metacarpal Bones - diagnostic imaging Metacarpal Bones - injuries Metacarpal Bones - surgery Middle Aged Radiography Soft Tissue Injuries - complications Soft Tissue Injuries - surgery Surgical Flaps
We report a patient with a unique complex carpal dissociation involving complete and divergent dislocation of the hamate, capitate, and trapezium with total ligamentous disruption of the distal carpal row and midcarpal joint, associated with a transverse shaft fracture of the fifth metacarpal. The mechanism of injury was a sustained torsional force resulting in a simultaneous distraction and bidirectional dorsopalmar (ulnar)-palmodorsal (radial) crushing force at the carpus.

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Citation topics
1 Clinical & Life Sciences
1.34 Orthopedics
1.34.1020 Scaphoid
Web Of Science research areas
Orthopedics
Surgery
ESI research areas
Clinical Medicine

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