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Fractures of the carpal bones excluding the scaphoid
Affiliation:1. Shoulder and Upper Limb Surgery, SPORTSMED, Mumbai, India;2. Department of Orthopaedic Surgery, Seth GS Medical College and King Edward VII Memorial Hospital, Mumbai, India;1. Department of Orthopaedic Surgery, Stanford University School of Medicine, Redwood City, California;2. Department of Orthopaedic Surgery, National University Hospital, Singapore;1. Hospital Israelita Albert Einstein, São Paulo (SP), Brazil;2. Universidade Federal de Minas Gerais, Belo Horizonte (MG), Brazil;3. Universidade de Sao Paulo, São Paulo (SP), Brazil;4. Universidade Federal Fluminense (UFF), Niterói (RJ), Brazil;5. Universidade Federal de São Paulo, São Paulo (SP), Brazil;1. Division of Pediatrics, Department of Homeostatic Regulation and Development, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan;2. Division of Orthopaedic Surgery, Department of Reconstructive and Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan;3. Division of Comprehensive Musculoskeletal Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
Abstract:Carpal fractures excluding the scaphoid can cause morbidity that is disproportionate to their incidence because they are easily overlooked and are often harbingers of a wider wrist injury. Failure to recognize a more global injury pattern can result in undertreatment and permanent wrist dysfunction. Diagnosis requires a high index of suspicion, familiarity with carpal topography to guide the physical examination, and judicious use of specialized radiographic views and ancillary imaging techniques. Copyright © 2002 by the American Society for Surgery of the Hand
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