scholarly journals Carpal Bone Fracture

2020 ◽  
Author(s):  
Keyword(s):  
2008 ◽  
Vol 70 (9) ◽  
pp. 915-921 ◽  
Author(s):  
Koh ARAI ◽  
Masaaki TAGAMI ◽  
Takashi HATAZOE ◽  
Eikoh NISHIMATSU ◽  
Yuri SHIMIZU ◽  
...  

2019 ◽  
Vol 24 (02) ◽  
pp. 243-246
Author(s):  
Ahmadreza Afshar ◽  
Ali Tabrizi

Carpal bone fracture-dislocation is an uncommon wrist injury. Regarding limited prevalence of such injury, most of orthopedic surgeons have low experience in treatment and handling of these fractures and dislocations. A 25-year-old male worker with an uncommon carpal bone fracture-dislocation, namely bilateral scaphocapitate fracture syndrome, was described. Volar and dorsal approaches were used for reduction and fixation; complete stabilization was achieved after open reduction and fixation using Herbert screws into scaphoid and capitate. A 5-year follow-up showed satisfactory functional and radiographic results. In the case of scaphocapitate fracture syndrome open reduction and internal fixation by compression screws (rather than inserting multiple pins) leads to complete union in scaphoid and capitate. Restoration of normal anatomy in carpus bones can result in long-term satisfactory functional results while preventing possible complications.


2019 ◽  
Vol 30 (1) ◽  
pp. 13-16 ◽  
Author(s):  
Nao TSUZUKI ◽  
Yoshinori KANBAYASHI ◽  
Kanichi KUSANO

2021 ◽  
Vol 38 (12) ◽  
pp. e8-e8
Author(s):  
Gautam Reddy ◽  
Niall Maher ◽  
Ravindra Badge ◽  
Nasir Shah
Keyword(s):  

2001 ◽  
Vol 37 (2) ◽  
pp. 173-178 ◽  
Author(s):  
JL Tomlin ◽  
MJ Pead ◽  
SJ Langley-Hobbs ◽  
P Muir

In a retrospective study, 11 radial carpal bone (RCB) fractures in nine dogs were studied. Chronic lameness was reported in all dogs. Reduced range of motion and soft-tissue swelling of the carpal joints were clinical signs seen most frequently. Three common fracture patterns were identified: oblique fracture with a large medial fragment, sagittal fracture with a small medial fragment, and comminuted fracture. Radial carpal bone sclerosis and carpal osteoarthritis were identified in all dogs. Pancarpal arthrodesis was used to manage 55% of the RCB fractures in this report. Although RCB fracture is not associated with obvious trauma, the fracture mechanism is unknown.


2003 ◽  
Vol 16 (03) ◽  
pp. 178-183 ◽  
Author(s):  
C. M. Mortellaro ◽  
G. Bertoni ◽  
F. M. Martini ◽  
A. M. Cantoni ◽  
M. Di Giancamillo ◽  
...  

SummaryThe authors report 13 dogs with radiocarpal bone fracture. The lesion was bilateral in six cases and unilateral in seven. Clinical and radiographic examination of both the carpal joints was performed. One or two fracture lines, sagittal oblique and dorsal, of the radial carpal bone were detected. CT examination of two radial carpal bones helped in a better visualization of the fracture lines. A dorsal bone fragment of a fractured radial carpal bone was removed in one dog. Histopathology revealed the presence of fibro-connective tissue on the fracture surface of the bone fragment. The fibro-connective tissue did not seem to be the sequel to acute or chronic diseases, nor to any pathological healing process. The cancellous bone of the fragment was normal as was the bulk of the articular cartilage examined. A CT guided biopsy, including the sagittal oblique fracture surface of the radial carpal bone, was also performed. The specimens revealed the presence of immature cancellous bone with diffuse immature cartilage areas. The radial carpal bone has three separate centres of ossification: the primitive radial carpal bone, the central and intermediate carpal bone. The fusion of these centres occurs at 3-4 months of age. Histopathological findings suggest a possible “incomplete fusion” of the centres of ossification rather than a true fracture of the radial carpal bone or alternatively a “fatigue fracture”. A similar condition, involving the distal part of the humerus, was originally reported in several Cocker Spaniel dogs, and more recently in Rottweilers and Labrador Retrievers.


2010 ◽  
Vol 23 (02) ◽  
pp. 84-101 ◽  
Author(s):  
K. Perry ◽  
J. Johnson ◽  
R. Yeadon ◽  
N. Fitzpatrick

Summary Objectives: To report the application and clinical outcome of the treatment of radial carpal bone fracture in five dogs using a variably-pitched, headless cannulated compression screw (Acutrak®). Methods: Arthroscopy was performed prior to surgical repair in three cases. In two cases, a fissure within the radial carpal bone was more clearly apparent when oblique indirect illumination was employed at arthrotomy. Following Acutrak® screw placement via arthrotomy, external coaptation was applied in all cases for a period of two weeks. Results: Five dogs were treated, of which four were Boxers, and one was a Labrador Retriever crossbreed. All dogs were lame prior to treatment. There was no history of trauma, and all dogs had soft tissue swelling on the dorsal aspect of the radiocarpal joint. In all cases the fissure or fracture line was oblique in orientation, extending disto-medially from the midpoint of the radiocarpal joint proximally to the level of the second carpal bone distally. All fractures treated demonstrated progressive radiographic healing, and all dogs were free of lameness at six weeks postoperatively, but two of the five fractures failed to reach complete radiographic union. All dogs remained lameness-free with mean follow-up of 12.5 months. Discussion: Acutrak® screws are headless devices which achieve compression, even in small bone fragments. Threads engage both the near and far fracture segments, leading to increased screw-bone contact which maximizes pull-out strength and may increase the fatigue strength of the screw. Clinical significance: Fixation of two-piece canine radial carpal-bone fractures with the Acutrak® screw proved a reliable alternative to conventional compression screw fixation, and may have benefits over alternatives attributable to screw design and application technique.


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