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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Related Experiment Video

Updated: May 5, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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Unusual proximal dislocation without fracture: a case report.

Sheriff D Akinleye1, Amun Makani, Murray K Dalinka

  • 1Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA USA.

Hand (New York, N.Y.)
|December 3, 2013
PubMed
Summary
This summary is machine-generated.

This study reports a rare case of complete proximal carpal row dislocation without any associated fractures. This complex carpal instability highlights the diverse injury patterns that can occur from wrist trauma.

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Area of Science:

  • Orthopedic Surgery
  • Radiology
  • Hand Surgery

Background:

  • Carpal instability encompasses osseous and ligamentous injuries, classified as greater arc, lesser arc, or combined patterns.
  • These injuries commonly result from falls onto an outstretched hand, involving specific wrist positions like ulnar deviation and hyperextension.
  • The injury mechanism typically involves a force propagating from the radial to the ulnar side, leading to characteristic fracture or dislocation patterns.

Purpose of the Study:

  • To report a unique case of complex carpal dislocation involving the entire proximal carpal row.
  • To emphasize the occurrence of this severe carpal instability in the absence of any associated fractures.

Main Methods:

  • Case report detailing a complex carpal dislocation.
  • Review of relevant literature on carpal instability, fractures, and dislocations.

Main Results:

  • A case of complete proximal carpal row dislocation was identified.
  • This dislocation occurred without any accompanying fractures of the forearm, wrist, or hand bones.

Conclusions:

  • Complex carpal dislocations can occur in isolation, without fractures.
  • This case expands the known spectrum of carpal instability injuries, particularly highlighting rare fracture-less presentations.