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Case report. Pediatric carpal fracture dislocation

T A DeCoster1, S Faherty, A L Morris

  • 1Department of Orthopedics and Rehabilitation, University of New Mexico, School of Medicine, Albuquerque 87131-5296.

Journal of Orthopaedic Trauma
|January 1, 1994
PubMed
Summary
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Transcarpal fractures, involving multiple carpal bones and the distal radius in children, are rare. This case report details a 10-year-old boy

Area of Science:

  • Orthopaedic surgery
  • Pediatric orthopaedics
  • Traumatology

Background:

  • Transcarpal fractures are exceptionally rare in pediatric populations.
  • Literature review indicates limited documented cases of such severe carpal injuries in children.

Observation:

  • A 10-year-old male presented with a severe, grossly displaced transcarpal fracture pattern.
  • The injury involved the distal radius, scaphoid, lunate, and triquetrum.

Findings:

  • Surgical treatment included open reduction and internal fixation for all fractures.
  • Ligamentous repair was performed via combined dorsal and palmar approaches.
  • The patient achieved good wrist function post-operatively, despite developing abnormal carpal morphology.

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Implications:

  • This case highlights an unusual pediatric carpal injury pattern.
  • Increased awareness may improve future diagnosis and management of similar complex wrist fractures in children.
  • Understanding long-term carpal development after such injuries is crucial.