Transtrapezial Peritrapezoidal Transcapital Axial Radial Fracture Dislocation of the Carpus

Häcki, Jürg; Nagy, Ladislav; Schweizer, Andreas

doi:10.1007/s11552-009-9171-1

Cited by 4 publications

(5 citation statements)

References 8 publications

(11 reference statements)

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“…They do argue that it is essential to conduct precise clinical and radiographic examinations for accurate and efficient treatment. 9 In our case, the decision to delay surgery for 11 days in the setting of extensive soft tissue swelling may have avoided wound complications and resulted in a satisfactory outcome at 6 months. The case reports of axial ulnar dislocations with associated perilunate injuries did not address soft tissue management or delay to definitive treatment.…”

Section: Discussionmentioning

confidence: 66%

See 1 more Smart Citation

Perihamate-Peripisiform-Transtriquetrum Axial Ulnar Fracture Dislocation of the Hand With an Associated Perilunate Injury

Khurana

Chen

Dowdle

2018

The Journal of Hand Surgery

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Axial fracture-dislocations are rare, high-energy injuries. Although cases of axial fracture-dislocations are reported in the literature, there are few reports of a patient who suffered a combined perilunate injury with an ulnar axial dislocation of the hand. This case report describes the anatomical injury and operative treatment of a patient who suffered this injury and discusses the importance of associated soft tissue management.

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Section: Discussionmentioning

confidence: 66%

“…Another important aspect that warrants discussion is the soft tissue management in these patients. Hacki et al 9 reported a case in which there was a delay of 11 days before surgical intervention and suggested that the time-lapse has no negative impact. The outcome is highly correlated to the amount of soft tissue damage.…”

Section: Discussionmentioning

confidence: 99%

Perihamate-Peripisiform-Transtriquetrum Axial Ulnar Fracture Dislocation of the Hand With an Associated Perilunate Injury

Khurana

Chen

Dowdle

2018

The Journal of Hand Surgery

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“…The classification of these injuries is distinct from that of perilunate injuries and is further complicated by the high association of axial carpal injuries with other bone and soft-tissue derangements (5). Since the 1989 review of 56 patients, 15 additional cases of axial carpal injury have been reported in the literature (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16).…”

Section: Classificationmentioning

confidence: 99%

“…This is believed to be due to the protective effect of the thenar soft tissues (5). These injuries can be isolated insults, can occur in association with perilunate or lunate dislocations (8,9,20), or can coincide with other complex carpal abnormalities (10)(11)(12)(13)(14)16,21).…”

mentioning

confidence: 99%

Traumatic Axial Dislocation Injuries of the Wrist

Reinsmith¹,

García-Elias²,

Gilula³

2013

Radiology

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Axial carpal dislocations and fracture dislocations have received mention in the hand and wrist surgery literature. Reference to these injuries in the radiology literature is scarce and anecdotal, resulting in somewhat limited awareness of these lesions among radiologists. These are rare injuries that result from severe, broad crushing or blast forces involving dorsopalmar compression of the wrist. This results in carpal splits, with either the ulnar or radial column stable with respect to the radius and with dislocation of the unstable column. Because of the intrinsic weaknesses in the carpal architecture, similar predictable injury patterns are observed. The most common of these include axial ulnar injuries (transhamate peripisiform axial ulnar fracture dislocation, perihamate peripisiform axial ulnar dislocation, and perihamate transtriquetrum axial ulnar fracture dislocation) and axial radial injuries (peritrapezoid peritrapezium axial radial dislocation, peritrapezium axial radial dislocation, and transtrapezium axial radial fracture dislocation). The radiologist's role in evaluating these injuries involves determining the injury path as it propagates through the carpus because surgical repair should address each component of this injury pathway. This review is presented to describe the radiographic findings of axial carpal disruptions in hopes of improving the recognition and successful therapy of these uncommon but often devastating injuries. This work is in accordance with the guidelines of the institutional review board.

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“…Verletzungen des Os trapezoideum werden als Folge schwerer Distorsions-, Stauchungs-und Quetschtraumata beobachtet [2]. Aufgrund der anatomischen Beschaffenheit des Os trapezoideum [11,12] und der Tatsache, dass das palmare Bandgefüge deutlich stärker ausgeprägt ist als der dorsale Bandapparat [12][13][14], kommt es häufiger zur dorsalen als zur palmaren oder radialen Luxation im STT-Gelenk [15]. Die Diagnosestellung dieser seltenen karpalen Verletzungen stellt eine große Herausforderung für die erstbehandelnden Ärzte dar.…”

Section: Introductionunclassified

Transtrapezoidale Luxation: Ein Fallbericht

Latz¹,

Gehrmann²,

Jungbluth³

et al. 2017

Handchir Mikrochir plast Chir

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Fracture dislocations of the STT joint are extremely rare. We present the case of a 50-year-old worker, who sustained a crush injury of his left hand with a dorsal fracture dislocation of the trapezoid bone and the associated second metacarpal bone at the STT, and a concomitant compartment syndrome of the hand. The fracture was reduced immediately and compartment release was performed, followed by percutaneous stabilisation using three K-wires. Material removal after six weeks was followed by intensive physical therapy. At the final follow-up examination after three months, we observed a good recovery of hand function compared to the unaffected right side with 75 % grip strength, 90 % ROM in extension/flexion and full thumb opposition (Kapandji score 9/10). Immediate surgical treatment of this rare injury can lead to a good functional result of the hand.

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Transtrapezial Peritrapezoidal Transcapital Axial Radial Fracture Dislocation of the Carpus

Cited by 4 publications

References 8 publications

Perihamate-Peripisiform-Transtriquetrum Axial Ulnar Fracture Dislocation of the Hand With an Associated Perilunate Injury

Perihamate-Peripisiform-Transtriquetrum Axial Ulnar Fracture Dislocation of the Hand With an Associated Perilunate Injury

Traumatic Axial Dislocation Injuries of the Wrist

Transtrapezoidale Luxation: Ein Fallbericht

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