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[Intercarpal dislocation in early childhood. A case report].

M Wannske1, A Berger

  • 1Klinik für Plastische, Hand- und Wiederhersteillungschirurgie der Medizinischen Hochschule Hannover.

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|May 1, 1988
PubMed
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This case study details intercarpal subluxation in a child. Open reduction carries risks like bone density loss and growth arrest, especially in young patients.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Wrist Biomechanics

Background:

  • Intercarpal subluxation is a rare wrist injury.
  • Early diagnosis and management are crucial in pediatric patients.
  • Understanding the risks associated with surgical intervention is essential.

Observation:

  • A six-year-old girl presented with intercarpal subluxation.
  • The case highlights the challenges in managing pediatric wrist injuries.
  • Conservative treatment options were considered alongside surgical risks.

Findings:

  • Open reduction for intercarpal subluxation in children poses significant risks.
  • Potential complications include iatrogenic injury to growth plates.
  • Loss of bone density and growth arrest are serious sequelae.

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Implications:

  • This case underscores the need for careful consideration of surgical versus non-surgical management in pediatric intercarpal subluxation.
  • Minimally invasive techniques or conservative management may be preferred to mitigate risks.
  • Further research into optimal treatment strategies for pediatric wrist injuries is warranted.