MR Imaging of Carpal Fractures

Murthy, Naveen S.; Ringler, Michael D.

doi:10.1016/j.mric.2015.04.006

Cited by 10 publications

(5 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to literature it was mostly performed if a concomitant soft tissue injury was suspected as TFCC lesions or scapholunate ligament ruptures. [ 15 ] Furthermore, MRI can be useful for occult scaphoid fractures, imaging in children or evaluation of the age of the fracture. [ 16 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of carpal fractures: is it only about the scaphoid?

Boeddrich

Sander

Lustenberger

et al. 2023

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

Because of their low incidence, studies about carpal fractures are rare. The aim of the present study was to analyze epidemiology and treatment of fractured carpal bones. We retrospectively analyzed data of 178 patients admitted to our emergency room with carpal fractures over 6 years. More males than woman were injured. In 91%, a CT scan was performed. The most commonly affected bone was the triquetrum followed by the scaphoid. Almost all triquetral fractures were treated conservatively as opposed to perilunate dislocations that were all operated on. Half of all patients with scaphoid fractures were operated. Young men had the highest risk to sustain a carpal fracture. The triquetrum and the scaphoid are most frequently affected. Usually a CT scan is needed. Treatment of scaphoid and perilunate luxation fractures is rather operative whereas the other fractures mostly allow conservative casting. Nevertheless, correct indication for treatment is important to avoid sequelae.

show abstract

Section: Discussionmentioning

confidence: 99%

Epidemiology of carpal fractures: is it only about the scaphoid?

Boeddrich

Sander

Lustenberger

et al. 2023

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

show abstract

“…It is crucial to diagnose carpal injuries accurately because delayed treatment of carpal fractures may lead to significant long-term complications. 45 On radiographs, the three arcs of Gilula are important for diagnosing carpal dislocation that should be suspected if these arcs are disrupted. Lateral views can help identify carpal dislocations.…”

Section: Carpalmentioning

confidence: 99%

Imaging Review of Hockey-Related Upper Extremity Injuries

Yan

Holmes

Mallinson

et al. 2022

Semin Musculoskelet Radiol

View full text Add to dashboard Cite

show abstract

“…After radiographs, CBCT is the primary imaging modality in case of strong suspicion of a fracture, but in patients with persistent wrist pain with equivocal findings at clinical examination, MRI is also a very valuable tool to detect occult (micro) fractures or bone bruise. 20,21 In patients with a contraindication for MRI, dual-energy computed tomography can be considered to show bone marrow edema in suspicion of fractures. 22 It was already demonstrated that a substantial number of occult fractures are detected on MRI in patients who were previously diagnosed as having a wrist sprain or wrist contusion.…”

Section: Carpal Injuriesmentioning

confidence: 99%

Acute Bony Injuries of Hand and Wrist

Jonge

Assink

Vanhoenacker

2021

Semin Musculoskelet Radiol

View full text Add to dashboard Cite

Acute bony injuries to the hand and wrist are very common after a fall on an outstretched hand. In the wrist, distal radius fractures are the most common; isolated distal ulna fractures are uncommon. More serious injuries to the wrist include complicated fracture-dislocation injuries such as perilunate dislocations. At the carpal level, scaphoid fractures are the most common followed by fractures of the dorsal side of the triquetrum. The metacarpals often fracture, most commonly the base of the thumb and the subcapital region of the fifth metacarpal. In the fingers, we encounter many different types of fractures, often avulsions reflecting underlying soft tissue pathology (e.g., mallet finger). Dislocations are common in the fingers, predominantly in the distal interphalangeal joints. From an imaging standpoint, conventional radiography is always the initial examination. Complex (intra-articular) fractures, fracture-dislocation injuries, and a strong clinical suspicion of radiographically occult fractures need to be further evaluated for decision making regarding treatment. Computed tomography is the primary imaging modality of choice for the first two. In the latter, magnetic resonance imaging can be preferable, depending on clinical suspicion and the local situation in the associated hospital.

show abstract

MR Imaging of Carpal Fractures

Cited by 10 publications

References 53 publications

Epidemiology of carpal fractures: is it only about the scaphoid?

Epidemiology of carpal fractures: is it only about the scaphoid?

Imaging Review of Hockey-Related Upper Extremity Injuries

Acute Bony Injuries of Hand and Wrist

Contact Info

Product

Resources

About