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Transtriquetral perihamate fracture-dislocation: case report.
Frederico Barra de Moraes1, Rodrigo Cunha Ferreira1, Stéphanie Zago Geraldino1
1Universidade Federal de Goiás (UFG), Faculdade de Medicina, Goiânia, GO, Brazil.
Revista Brasileira De Ortopedia
|August 13, 2016
Summary
This case report details a rare transtriquetral perihamate fracture-dislocation with carpal instability. Prompt diagnosis and surgical treatment restored wrist function and range of motion.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Radiology
Background:
- Wrist injuries are common, but fractures of the pyramidal bone (triquetrum) with hamate dislocation and carpal instability are rare.
- These injuries typically result from high-energy trauma and can involve neurovascular deficits or other carpal bone damage.
Observation:
- A patient presented with pain, edema, and limited wrist motion after trauma.
- Radiography revealed a transtriquetral perihamate fracture-dislocation with associated carpal instability.
Findings:
- The study presents a rare case of transtriquetral perihamate fracture-dislocation.
- Diagnosis was confirmed via radiography.
- The case involved significant carpal instability.
Implications:
- This case highlights the importance of considering rare injuries in wrist trauma evaluation.
- Comprehensive management, including surgery and physiotherapy, can lead to successful outcomes.
- Understanding and treating such complex injuries is crucial for restoring wrist function.

