Proximal row transcarpal fracture from a punching injury.
We describe an unusual case of a 31-year-old woman who injured the right dominant wrist when she punched an assailant's shoulder. She described a mechanism of direct compression, with the wrist in hyperextension, radial deviation and the forearm in pronation. She sustained an oblique transverse fracture of the proximal pole of the scaphoid and a coronal plane fracture of the lunate and the triquetrum. This unusual proximal row transcarpal fracture is in conflict with the Mayfield sequence and was caused by a low velocity injury.
Christodoulou
L
L
Pulvertaft Hand Centre, Derbyshire Royal Infirmary, Derby, UK.
Palou
C H
CH
Chamberlain
S T
ST
D000328:Adult; D002348:Carpal Bones / Q000293:injuries*; D005260:Female; D050723:Fractures, Bone / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D011859:Radiography