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Scaphotrapezio-trapezoidal dislocation. A case report

H A Maxwell1, M A Morris

  • 1Hang Unit, Stockport Infirmary, U.K.

Acta Orthopaedica Scandinavica
|June 1, 1993
PubMed
Summary
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A severe hand injury involving multiple joint dislocations was initially missed. True lateral wrist radiographs are crucial for diagnosing complex carpal injuries.

Area of Science:

  • Orthopedic Surgery
  • Radiology
  • Trauma Care

Background:

  • Motorcyclist road accidents can cause severe hand injuries.
  • Complex carpal and carpometacarpal joint injuries are common in high-impact trauma.
  • Initial assessment of hand trauma requires careful evaluation.

Observation:

  • A motorcyclist sustained a complex hand injury including scaphotrapezial dislocation and multiple carpometacarpal joint dislocations.
  • The full extent of the injury was initially overlooked.
  • Combined carpal and carpometacarpal injuries are prone to being missed on standard radiographic views.

Findings:

  • Scaphotrapezial dislocation and dislocations of the trapezoid, third, fourth, and fifth carpometacarpal joints were present.
  • Diagnostic challenges exist in identifying combined carpus and carpometacarpal joint injuries.

Related Experiment Videos

  • The true lateral radiograph of the wrist is essential for accurate diagnosis.

    • Implications:

    • Underdiagnosis of complex hand injuries can lead to suboptimal treatment outcomes.
    • Radiographic protocols for wrist trauma should emphasize the true lateral view.
    • Enhanced diagnostic vigilance is required for combined carpal and carpometacarpal injuries in trauma patients.