Radiographic and orthopedic evaluation of wrist trauma

This paper was written to enable radiologists to contribute more usefully to the diagnosis and treatment of various wrist injuries. All imaging modalities are discussed to equip the radiologist for his difficult task. We present a systematic approach to the evaluation of wrist trauma patients beginning with initial plain films and proceeding through more invasive or sophisticated studies in order to achieve a definitive diagnosis. Toward this end a flow chart has been developed as a quick reference source. The authors have then described the anatomy and kinematics of the wrist to further the radiologist's understanding of the forces involved and the injuries produced by trauma. From this foundation individual injuries are then discussed together with the best methods of making the proper diagnosis of each. Criteria for adequate treatment of various injuries are also presented.