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Wrist Trauma: More Than Bones.

Maryam Shahabpour1, Wiem Abid1, Luc Van Overstraeten1

  • 1Free University of Brussels, BE.

Journal of the Belgian Society of Radiology
|January 24, 2022
PubMed
Summary
This summary is machine-generated.

Acute wrist trauma, including distal radius and carpal fractures, can be missed on initial X-rays. Advanced imaging like CT and MRI aids in diagnosing subtle fractures and ligament injuries to prevent complications.

Keywords:
extrinsic ligamentfractureinjuryintrinsic ligamentwrist

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Area of Science:

  • Orthopedics
  • Radiology
  • Sports Medicine

Background:

  • Wrist trauma is common, particularly distal radius fractures in the elderly and carpal fractures in younger individuals.
  • Initial radiographs may fail to detect subtle fractures, leading to complications such as nonunion, osteonecrosis, and osteoarthritis if untreated.
  • Associated ligament injuries, especially scapholunate complex tears, are frequently overlooked in acute settings.

Purpose of the Study:

  • To highlight the diagnostic challenges in acute and subacute wrist trauma.
  • To emphasize the importance of advanced imaging in detecting occult fractures and ligament injuries.
  • To prevent long-term complications associated with missed wrist injuries.

Main Methods:

  • Review of common wrist trauma presentations and diagnostic imaging modalities.
  • Discussion of the limitations of initial radiographic assessment.
  • Evaluation of the utility of computed tomography (CT) and magnetic resonance imaging (MRI) in diagnosing subtle wrist injuries.

Main Results:

  • Initial radiographs have limitations in detecting subtle fractures and associated ligament injuries.
  • Computed tomography (CT) can identify occult fractures.
  • Magnetic resonance imaging (MRI) is effective for early diagnosis of occult fractures and ligamentous tears.

Conclusions:

  • Advanced imaging techniques, including CT and MRI, are crucial for accurate diagnosis of acute and subacute wrist trauma.
  • Early and accurate diagnosis of wrist fractures and ligament injuries is essential to prevent complications and ensure optimal patient outcomes.
  • Integrating advanced imaging into the diagnostic pathway can improve the management of wrist injuries, particularly in cases with subtle or occult pathology.