Journal of Hand Surgery
Volume 35, Issue 3 , Pages 375-378, March 2010

Surgical Treatment of Pediatric Posttraumatic Palmar Midcarpal Instability: Case Report

Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA

Received 2 February 2009; accepted 9 November 2009. published online 11 January 2010.

We treated a 6-year-old child able to extend her wrist only to within 30° of the neutral position secondary to posttraumatic palmar midcarpal instability with palmar and dorsal capsulodesis and pinning. More than 8 years after surgery, she has no complaints referable to her wrist and has 30° of active wrist extension. Although unpredictable in adults, soft-tissue reconstruction is a treatment option in the pediatric patient with posttraumatic palmar midcarpal instability.

Key words: Pediatric, midcarpal instability

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 No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.

PII: S0363-5023(09)00993-9

doi:10.1016/j.jhsa.2009.11.008

Journal of Hand Surgery
Volume 35, Issue 3 , Pages 375-378, March 2010