Nondisplaced Fractures of the Proximal Carpal Row: Case Report

• Published in: The Journal of hand surgery (American ed.) Vol. 36; no. 8; pp. 1310 - 1312
• Main Authors: Buijze, Geert A., MD, Mudgal, Chaitanya S., MD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.08.2011; Elsevier
• Subjects: Accidental Falls; Biological and medical sciences; Carpal Bones - diagnostic imaging; Carpal Bones - injuries; Casts, Surgical; Disability Evaluation; Diseases of the osteoarticular system; Female; Fractures, Bone - diagnostic imaging; Fractures, Bone - therapy; Greater arc; Hand Strength; Humans; Injuries of the limb. Injuries of the spine; lesser arc; Medical sciences; Orthopedics; perilunate injury; Tomography, X-Ray Computed; translunate arc; translunate fracture; Traumas. Diseases due to physical agents; Young Adult; perilunate injury; Greater arc; translunate fracture; lesser arc; translunate arc; Case study; Human; Proximal; Orthopedics; Diseases of the osteoarticular system; Fracture; Trauma
• ISSN: 0363-5023; 1531-6564
• DOI: 10.1016/j.jhsa.2011.05.032

We present a 24-year-old woman who sustained isolated nondisplaced fractures of the proximal carpal row after a low-energy injury. The radiographic features are most consistent with the recently described translunate arc injury and appear to be a transitional injury between an inferior arc injury as well as the greater and lesser arc injuries. The injury was successfully treated with below-elbow thumb-spica cast immobilization for 10 weeks.