Surgical Treatment of Pediatric Posttraumatic Palmar Midcarpal Instability: Case Report

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.