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Transscaphoid-transtriquetrial perilunate fracture dislocation

Arnold MJA - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Transscaphoid-transtriquetrial perilunate fracture dislocation

History: 20 year-old male presents to Primary Care Clinic with marked pain and swelling of left hand after fall onto outstretched left hand while playing basketball.

Findings: 1. Transverse fracture through waist of scaphoid 2. Transverse fracture of triquetrium. 3. Posterior dislocation of capitate in relationship to the lunate

Ddx: 1. Perilunate fracture-dislocation (greater arc injury) 2. Scaphocapitate syndrome 3. Axial-radial wrist dislocation

Dxhow: Not required. Radiographs provided final diagnosis.

Exam: Patient has diffuse swelling of the left hand and marked tenderness to palpation over distal ulna on both palmar and dorsal aspects of the left wrist. Limited range of motion of wrist.

No MeSH data available.


The oblique radiograph is less obvious than the AP radiograph in demonstrating the scaphoid and triquetral fractures.
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MPX1183_synpic27140: The oblique radiograph is less obvious than the AP radiograph in demonstrating the scaphoid and triquetral fractures.


Transscaphoid-transtriquetrial perilunate fracture dislocation

Arnold MJA - MedPix (2009)

The oblique radiograph is less obvious than the AP radiograph in demonstrating the scaphoid and triquetral fractures.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1183&req=5

MPX1183_synpic27140: The oblique radiograph is less obvious than the AP radiograph in demonstrating the scaphoid and triquetral fractures.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Transscaphoid-transtriquetrial perilunate fracture dislocation

History: 20 year-old male presents to Primary Care Clinic with marked pain and swelling of left hand after fall onto outstretched left hand while playing basketball.

Findings: 1. Transverse fracture through waist of scaphoid 2. Transverse fracture of triquetrium. 3. Posterior dislocation of capitate in relationship to the lunate

Ddx: 1. Perilunate fracture-dislocation (greater arc injury) 2. Scaphocapitate syndrome 3. Axial-radial wrist dislocation

Dxhow: Not required. Radiographs provided final diagnosis.

Exam: Patient has diffuse swelling of the left hand and marked tenderness to palpation over distal ulna on both palmar and dorsal aspects of the left wrist. Limited range of motion of wrist.

No MeSH data available.