TOTBİD Dergisi

TOTBİD Dergisi

2014, Cilt 13, Sayı, 2     (Sayfalar: 159-167)

Carpal fractures excluding the scaphoid

Eren Cansü 1

1 Marmara Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı

DOI: 10.14292/totbid.dergisi.2014.18
Görüntüleme: 72
İndirme : 64

Carpal fractures are rare injuries. Although it is suggested that hyperflexion is important, hyperextension is considered to be the major mechanism creating these injuries. However, if we keep in mind the variety of the carpal fractures, it is obvious that more than a single mechanism is responsible for the entire spectrum of carpal fractures and fracture-dislocations. Although scaphoid fractures are the most common, other isolated fractures or accompanying carpal fractures to scaphoid fractures should be kept in mind when dealing with wrist trauma. Carpal fractures are hard to diagnose and they are usually missed. The best way to diagnose is to suspect: if suspected, it can be easily diagnosed with advanced radiological methods. The primary goal in the treatment of carpal fractures and fracture-dislocations is the preservation of a painless wrist function. As a general rule, stable and nondisplaced fractures are treated conservatively with casting. Osteosynthesis can be the treatment of displaced and large fragment fractures. If there are single or multiple small fragments, these can be excised surgically. Risks of wrist pain, residual damage and arthrosis will increase if these lesions are misdiagnosed or the treatment is delayed.

Anahtar Kelimeler : carpal joints; fractures; dislocations; wrist; trauma