title: Proximal row transcarpal fracture from a punching injury.
abstract: 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.
authors.affiliation: Pulvertaft Hand Centre, Derbyshire Royal Infirmary, Derby, UK.
authors.forename: L
authors.initials: L
authors.lastname: Christodoulou
authors.forename: C H
authors.initials: CH
authors.lastname: Palou
authors.forename: S T
authors.initials: ST
authors.lastname: Chamberlain
mesh_terms: D000328:Adult; D002348:Carpal Bones / Q000293:injuries*; D005260:Female; D050723:Fractures, Bone / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D011859:Radiography