Closed longitudinal splitting of the carpus. Case report.
Closed longitudinal splitting of the carpus is a rare injury with disruption of the transversal carpal arch. One case with a stroke injury is reported; the injury was work-related and occurred as a broad stroking injury to the volar side of the right hand and wrist. The patient was treated with open reduction, ligament repair and percutaneous pinning of a wide diastasis. Despite the return of wrist motion, pinch and grip strength remained below normal at follow-up examination. There appears to be a weak point between the capitate and hamate and the third and fourth metacarpals.
Rasmussen
S
S
Department of Orthopedic Surgery, Hjørring Hospital, Denmark.
D000328:Adult; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000293:injuries*; D005593:Fracture Fixation, Internal / Q000379:methods; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography