Bontoux, "Double osteoidosteoma in adjacent
carpal bones: a case report," The Journal of Bone and Joint Surgery, vol.
Caption: Figure 4 (A, B, C)--Palmar carpus: PIL = palmar intercarpal ligament, CS = carpal sheath, SDFT = superficial digital flexoi tendon, PODDFT = proximal origin of the deep digital flexor tendon, CT = carpal tunel, PCL = palmar carpal ligament, intermediate
carpal bone. L = lateral, M = medial.
Wolfe, "
Carpal bone postures and motions are abnormal in both wrists of patients with unilateral scapholunate interosseous ligament tears," Journal of Hand Surgery, vol.
This suggests that in cases of these conditions, coalition of
carpal bones should be considered as a differential diagnosis.
Table 1 Finger Thumb Result 220 to 260 119 to 140 Excellent 180 to 219 98 to 118 Good 130 to 179 70 to 97 Fair <130 <70 Poor Table 2 Result Phalangeal Metacarpal
Carpal Bones (Trapezium) Excellent 12 03 02 Good 08 01 00 Fair 01 00 00 Poor 01 00 00
Scaphoid injury is the most common pathology of the
carpal bones [1].
Indeed Afifi and Lu (2011) have previously commented that the overlapping of the
carpal bones makes plain radiographs difficult to interpret and this has been supported by previous authors (Sadowski and Montilla, 2008).
(2,3,7) Manual workers tend to have more repetitive trauma to the
carpal bones leading to degenerative changes and subsequent loss of lunate blood supply.
In this case, not only scaphoid fracture and rupture of scapholunate ligaments were seen, but also excessive displacement due to severity of trauma resulted in
carpal bones free of any ligamentous attachment.
These
carpal bones in turn articulate with five metacarpal bones.
Scaphoid fractures of the wrist are common and account for 71% of all
carpal bone fractures.