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PubMed · 433714

The 'sprained wrist'.

Abstract

"Sprain of the wrist" is a precarious diagnosis. Although true ligamentous injuries do occur, it is important for the physician who first sees the patient to make a more specific and accurate diagnosis. In most instances, this can be done by locating the precise area of maximum tenderness and obtaining appropriate radiographs. Understanding the basic anatomy and biomechanics of the carpal bones and knowing the most likely diagnostic possibilities will permit recognition of these frequently overlooked injuries.

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BibTeXRIS

D P Green. 1979. The 'sprained wrist'.. https://pubmed.ncbi.nlm.nih.gov/433714/

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Bone scintigraphy will identify up to 25% of occult scaphoid bone fractures after negative scaphoid X-rays. Consequently, it deserves a place in the diagnostic process of suspected scaphoid fractures. However, the role of bone scintigraphy is less clear if scaphoid X-rays show other fractures in the carpal region. We analysed 111 consecutive patients with a suspected scaphoid fracture on physical examination. Scaphoid X-rays revealed 61 fractures. Fifty-five patients had scaphoid fractures only and six patients had other fractures in the carpal region but no scaphoid fracture. In 50 cases, no bone injury was seen on these X-rays. In three out of the six patients with other fractures in the carpal region, bone scintigraphy revealed four occult concomitant fractures: one scaphoid, one scaphoid and trapezial and one capitate fracture. In conclusion, bone scintigraphy is required when scaphoid X-rays do not confirm a suspected scaphoid fracture, even in the presence of other fractures in the carpal region.

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Intra-individual comparison between open and 2-portal endoscopic release in clinically matched bilateral carpal syndrome.

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Carpal Bones↗