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Semin Musculoskelet Radiol 2000; 4(2): 193-204
DOI: 10.1055/s-2000-13012
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Wrist and Hand Injuries

Charles S. Resnik
  • Department of Diagnostic Radiology, University of Maryland School of Medicine, Baltimore, Maryland
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Publikationsdatum:
31. Dezember 2000 (online)

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ABSTRACT

Wrist and hand injuries are common occurrences. These are often caused by a fall on the outstretched hand, but other mechanisms, from sports-related injuries to high-speed motor vehicle collisions, can lead to injuries that may be subtle on initial imaging or may produce characteristic radiographic findings. In all cases, careful attention to certain anatomic details along with a sound understanding of different injury patterns should allow an accurate diagnosis to be made. The following this article illustrates these concepts, emphasizing features that should be familiar to both radiologists and orthopedic surgeons.

KEYWORD

Wrist - hand - fracture - dislocation

REFERENCES

  • 1 Baratz M E, Larsen C F. Wrist and hand measurements and classification schemes. In: Gilula LA, Yin Y (eds), Imaging of the Wrist and Hand Philadelphia: WB Saunders 1996: 225-259
    Google Scholar
  • 2 Gilula L A. Carpal injuries: Analytic approach and case exercises.  AJR . 1979;  133 503-517
    PubMedGoogle Scholar
  • 3 Fisher M R, Rogers L F, Hendrix R W. Systematic approach to identifying fourth and fifth carpometacarpal joint dislocations.  AJR . 1983;  140 319-324
    PubMedGoogle Scholar
  • 4 Mann F A, Wilson A J, Gilula L A. Radiographic evaluation of the wrist: What does the hand surgeon want to know?.  Radiology . 1992;  184 15-24
    PubMedGoogle Scholar
  • 5 Zabinski S J, Weiland A J. Fractures of the distal radius. In: Levine AM (ed), Orthopaedic Knowledge Update: Trauma Rosemont, IL: American Academy of Orthopaedic Surgeons 1996: 67-82
    Google Scholar
  • 6 Trumble T E, Culp R, Hanel D P. Intra-articular fractures of the distal aspect of the radius.  J Bone Joint Surg . 1998;  80A 582-600
    PubMedGoogle Scholar
  • 7 Bruckner J D, Alexander A H, Lichtman D M. Acute dislocations of the distal radio-ulnar joint.  J Bone Joint Surg . 1995;  77A 958-968
    PubMedGoogle Scholar
  • 8 Mikic Z D. Galeazzi fracture-dislocations.  J Bone Joint Surg . 1975;  57A 1071-1080
    PubMedGoogle Scholar
  • 9 Goldberg H D, Young J WR, Reiner B. Double injuries of the forearm: A common occurrence.  Radiology . 1992;  185 223-227
    PubMedGoogle Scholar
  • 10 Mino D E, Palmer A K, Levinsohn E M. Radiography and computerized tomography in the diagnosis of incongruity of the distal radio-ulnar joint.  J Bone Joint Surg . 1985;  67A 247-252
    PubMedGoogle Scholar
  • 11 Wechsler R J, Wehbe M A, Rifkin M D. Computed tomography diagnosis of distal radioulnar subluxation.  Skeletal Radiol . 1987;  16 1-5
    CrossrefPubMedGoogle Scholar
  • 12 Rogers L F. Radiology of Skeletal Trauma, 2nd ed. New York: Churchill Livingstone; . 1992: 888-889
    Google Scholar
  • 13 Imaeda T, Nakamura R, Miura T, Makino N. Magnetic resonance imaging in scaphoid fractures.  J Hand Surg . 1992;  17B 20-27
    PubMedGoogle Scholar
  • 14 Resnik C S, Gelberman R H, Resnick D. Transscaphoid, transcapitate, perilunate fracture dislocation (scaphocapitate syndrome).  Skeletal Radiol . 1983;  9 192-194
    CrossrefPubMedGoogle Scholar
  • 15 Norman A, Nelson J, Green S. Fractures of the hook of hamate: Radiographic signs.  Radiology . 1985;  154 49-53
    PubMedGoogle Scholar
  • 16 Mayfield J K. Mechanism of carpal injuries.  Clin Orthop Rel Res . 1980;  149 45-54
    PubMedGoogle Scholar
  • 17 Mayfield J K, Johnson R P, Kilcoyne R K. Carpal dislocations: Pathomechanics and progressive perilunar instability.  J Hand Surg . 1980;  5 226-241
    CrossrefPubMedGoogle Scholar
  • 18 Johnson R P. The acutely injured wrist and its residuals.  Clin Orthop Rel Res . 1980;  149 33-44
    PubMedGoogle Scholar
  • 19 Yeager B A, Dalinka M K. Radiology of trauma to the wrist: Dislocations, fracture dislocations, and instability patterns.  Skeletal Radiol . 1985;  13 120-130
    CrossrefPubMedGoogle Scholar
  • 20 Frankel V H. The Terry-Thomas sign.  Clin Orthop . 1978;  135 311-312
    PubMedGoogle Scholar
  • 21 Linscheid R L, Dobyns J H, Beabout J W, Bryan R S. Traumatic instability of the wrist.  J Bone Joint Surg . 1972;  54A 1612-1632
    PubMedGoogle Scholar
  • 22 Conway W F, Gilula L A, Manske P R. Translunate, palmar perilunate fracture-subluxation of the wrist.  J Hand Surg . 1989;  14A 635-639
    PubMedGoogle Scholar
  • 23 Yang S S, Gerwin M. Fractures of the hand. In: Levine AM (ed), Orthopaedic Knowledge Update: Trauma Rosemont, IL: American Academy of Orthopaedic Surgeons 1996: 95-109
    Google Scholar
  • 24 Stener B. Displacement of the ruptured ulnar collateral ligament of the metacarpo-phalangeal joint of the thumb.  J Bone Joint Surg . 1962;  44B 869-879
    PubMedGoogle Scholar
  • 25 Haramati N, Hiller N, Dowdle J. MRI of the Stener lesion.  Skeletal Radiol . 1995;  24 515-518
    PubMedGoogle Scholar
  • 26 Hinke D H, Erickson S J, Chamoy L, Timins M E. Ulnar collateral ligament of the thumb: MR findings in cadavers, volunteers, and patients with ligamentous injury (gamekeeper's thumb).  AJR . 1994;  163 1431-1434
    PubMedGoogle Scholar
  • 27 O'Callaghan B I, Kohut G, Hoogewoud H. Gamekeeper thumb: Identification of the Stener lesion with US.  Radiology . 1994;  192 477-480
    PubMedGoogle Scholar
  • 28 Wehbe M A, Schneider L H. Mallet fractures.  J Bone Joint Surg . 1984;  66A 648-669
    PubMedGoogle Scholar
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