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Related Experiment Videos

Delayed post-traumatic midcarpal dislocation.

R M A Hawken1, S M Fullilove

  • 1Department of Orthopaedics, Derriford Hospital, Plymouth, Devon, UK.

The Journal of Hand Surgery, European Volume
|October 24, 2007
PubMed
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Delayed post-traumatic midcarpal dislocation is a rare wrist injury. This case highlights a gradual dislocation developing over 18 weeks, successfully treated with partial wrist fusion.

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Radiology

Background:

  • Wrist injuries can present with delayed complications.
  • Midcarpal instability requires accurate diagnosis and timely intervention.

Observation:

  • A 39-year-old woman experienced a gradual volar midcarpal dislocation post-trauma.
  • Initial radiographs revealed a normal midcarpal joint.
  • Radiological evidence of lunocapitate subluxation appeared by 6 weeks, progressing to dislocation by 18 weeks.

Findings:

  • This represents a previously unreported type of delayed post-traumatic wrist injury.
  • Advanced degenerative changes were noted in the lunocapitate joint due to the delayed presentation.

Implications:

Related Experiment Videos

  • Early recognition of subtle radiographic changes is crucial for diagnosing delayed wrist dislocations.
  • Partial wrist fusion can be an effective treatment for established midcarpal dislocation with degenerative changes.