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Carpal Fractures Workup

  • Author: Robert R Schenck, MD; Chief Editor: Harris Gellman, MD  more...
 
Updated: Oct 29, 2015
 

Imaging Studies

Standard radiographs, including the anteroposterior (AP), lateral, and oblique views, are usually sufficient to diagnose carpal fractures.[16]  If such fractures are not adequately depicted with standard radiographs, additional imaging studies, including bone scanning, computed tomography (CT), and magnetic resonance imaging (MRI), may help confirm them.[17, 18, 19]  A retrospective study of pediatric carpal fractures by Eckert et al suggested that MRI may be the imaging method of choice for children with persistent symptoms.[20]

Nondisplaced scaphoid fracture. Nondisplaced scaphoid fracture.
Scaphoid fracture with minimal displacement. Scaphoid fracture with minimal displacement.
 
 
Contributor Information and Disclosures
Author

Robert R Schenck, MD Professor Emeritus, Department of Plastic Surgery, Rush Medical College; Emeritus Director, Section of Hand Surgery, Department of Plastic Surgery, Rush University Medical Center

Robert R Schenck, MD is a member of the following medical societies: American Association for Hand Surgery, American College of Surgeons, American Medical Association, American Society for Surgery of the Hand, American Society of Plastic Surgeons, American Society for Reconstructive Microsurgery, Chicago Medical Society, Illinois State Medical Society

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Michael Yaszemski, MD, PhD Associate Professor, Departments of Orthopedic Surgery and Bioengineering, Mayo Foundation, Mayo Medical School

Disclosure: Nothing to disclose.

Chief Editor

Harris Gellman, MD Consulting Surgeon, Broward Hand Center; Voluntary Clinical Professor of Orthopedic Surgery and Plastic Surgery, Departments of Orthopedic Surgery and Surgery, University of Miami, Leonard M Miller School of Medicine, Clinical Professor, Surgery, Nova Southeastern School of Medicine

Harris Gellman, MD is a member of the following medical societies: American Academy of Medical Acupuncture, American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American Society for Surgery of the Hand, Arkansas Medical Society

Disclosure: Nothing to disclose.

Additional Contributors

Michael S Clarke, MD Clinical Associate Professor, Department of Orthopedic Surgery, University of Missouri-Columbia School of Medicine

Michael S Clarke, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, Arthroscopy Association of North America, American Academy of Pediatrics, American Association for Hand Surgery, American College of Surgeons, American Medical Association, Clinical Orthopaedic Society, Mid-Central States Orthopaedic Society, Missouri State Medical Association

Disclosure: Nothing to disclose.

Acknowledgements

George J Kouris, MD Senior Fellow, Department of Plastic and Reconstructive Surgery, Rush-Presbyterian-St Luke's Medical Center

George J Kouris, MD is a member of the following medical societies: American College of Surgeons

Disclosure: Nothing to disclose.

Spero JV Theodorou, MD Staff Physician, Department of Plastic and Reconstructive Surgery, Rush-Presbyterian-St Luke's Medical Center

Disclosure: Nothing to disclose.

References
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  14. Seitz WH, Papandrea RF. Fractures and dislocations of the wrist. In: Rockwood and Green's Fractures in Adults. 5th ed. Phliadelphia, Pa: Lippincott, Williams & Wilkins; 2001:749-799.

  15. Watson HK, Weinzweig J. Physical examination of the wrist. Hand Clin. 1997 Feb. 13(1):17-34. [Medline].

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Nondisplaced scaphoid fracture.
Scaphoid fracture with minimal displacement.
Open reduction and internal fixation of displaced scaphoid fracture.
Nondisplaced fracture of the hook of the hamate.
 
 
 
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