Dynamic axial carpal instability: A case report

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

The concept of distal carpal row dissociation is not new. It has occurred secondary to high-energy crush or blast injuries, with resultant axial dislocations of both carpal rows and metacarpals. Axial carpal sprains without disruption or dynamic axial carpal instability have not been previously described. The evaluation of this new type of carpal instability with radiographs, tomography, arthrography, and magnetic resonance imaging failed to demonstrate its etiology. Arthroscopic evaluation of the midcarpal and radiocarpal joints demonstrated a dynamic axial carpal instability with incompetence of the capitohamate and scapholunate ligaments. Stabilization of the axial instability by capitohamate arthrodesis relieved the chronic wrist pain.

Original languageEnglish (US)
Pages (from-to)781-785
Number of pages5
JournalJournal of Hand Surgery
Volume24
Issue number4
DOIs
StatePublished - Jul 1999

Fingerprint

Wrist
Blast Injuries
Sprains and Strains
Arthrography
Metacarpal Bones
Arthrodesis
Ligaments
Chronic Pain
Joints
Tomography
Magnetic Resonance Imaging

Keywords

  • Axial carpal instability
  • Dissociative carpal instability
  • Dynamic
  • Wrist

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Dynamic axial carpal instability : A case report. / Shin, Alexander Yong-Shik; Glowacki, Keith A.; Bishop, Allen Thorp.

In: Journal of Hand Surgery, Vol. 24, No. 4, 07.1999, p. 781-785.

Research output: Contribution to journalArticle

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