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Updated: Jul 10, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Complex carpal dissociation with open, complete, and divergent trapezium, capitate, and hamate dislocation: a case
Harvey Chim1, Andrew K T Yam, Andrew Y H Chin
1Department of Hand Surgery, Singapore General Hospital, Singapore, Singapore. harveychim@yahoo.com
Abstract:
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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