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Research Article| Volume 2, ISSUE 3, P129-140, August 2002

Fractures of the carpal bones excluding the scaphoid

  • Munir A Shah
    Affiliations
    Division of Hand Surgery, Department of Orthopaedics and Rehabilitation, University of Texas Medical Branch, Galveston, TX
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  • Steven F Viegas
    Correspondence
    Address reprint requests to Munir A. Shah, MD, Department of Orthopaedics, Rebecca Sealy Hospital, Room 2.616, 301 University Blvd, Galveston, TX 77555-0165
    Affiliations
    Division of Hand Surgery, Department of Orthopaedics and Rehabilitation, University of Texas Medical Branch, Galveston, TX
    Search for articles by this author

      Abstract

      Carpal fractures excluding the scaphoid can cause morbidity that is disproportionate to their incidence because they are easily overlooked and are often harbingers of a wider wrist injury. Failure to recognize a more global injury pattern can result in undertreatment and permanent wrist dysfunction. Diagnosis requires a high index of suspicion, familiarity with carpal topography to guide the physical examination, and judicious use of specialized radiographic views and ancillary imaging techniques. Copyright © 2002 by the American Society for Surgery of the Hand
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