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Data 2fimages 2fkzv6h3xsxivtrs32nmoz 190507 s0 haider hammad wrist injuries intro
Wrist Injuries
Data 2fimages 2fabpx8ccxqau5vrmxhp35 190507 s1 haider hammad carpal injuries
Carpal Injuries
Data 2fimages 2ffd9o5jekrh6dvgs4bnyl 190507 s2 haider hammad fractured scaphoid
Fractured Scaphoid
Data 2fimages 2fdt6gd20tq1iiheksmhdi 190507 s3 haider hammad carpal bones fracture
Carpal Bones Fracture
Data 2fimages 2foxmdd6lhtjcavwuwvy2c 190507 s4 haider hammad ulnar sided wrist injury
Ulnar Sided Wrist Injury
Data 2fimages 2fidedv1jdrbgmtwbg3ssq 190507 s5 haider hammad carpal dislocations and subluxation
Carpal Dislocations and Subluxation

Lecture´s Description

Dr. Hammad Haider extensively elaborates wrist injuries in this medical video lecture. Initially, light is shed on carpal injuries. Then fractured scaphoid along with carpal bones fracture and ulnar sided wrist injury comes under debate. Moreover, carpal dislocations and subluxation are conclusively discussed.

Carpal Injuries

In carpal injuries, entire carpus suffers and vary greatly in type and severity. Commonest carpal injuries encompass fracture of carpal bone, dislocations of lunate or bones around it, self-limiting sprains of joint capsule. Among imaging techniques, X-rays are key to diagnosis. In case of unavailability of MRI, repeated X-rays are needed. Moreover, wrist arthroscopy is also discussed.

Fractured Scaphoid

Fractured scaphoid is rare in elderly and in children. Anatomically, scaphoid lies obliquely across two rows of carpal bones. Subsequently, mechanism of injury and pathological anatomy also comes under consideration. Clinical features include pain in axial compression, ulnar distraction, and tenderness. Treatment modality of undisplaced waist fractures, displaced fractures, and proximal pole fractures is also discussed.

Carpal Bones Fracture

Hamate is one of the fractures of other carpal bones which is not seen on routine X-rays, CT scan or MRI is needed. After that trapezium comes under consideration. Body of trapezium can be fractured which settles through open reduction and internal fixation. Ridge is fractured by direct blow. Likewise, capitate is elaborated. Fractures of lunate are categorized into undisplaced and displaced fractures. However, fractures of lunate are rare.

Ulnar Sided Wrist Injury

Ulnar-side wrist injuries are damaged in isolation. Some of the clinical features of ulnar-side wrist injuries comprise pain and often clinking, tenderness over injured site, piano-key sign, and pain on rotation of forearm. Arthrography, CT, MRI, and arthroscopy are needed to confirm diagnosis. Treatment of chronic instability may require reconstructive surgery. Treatment option of other acute conditions is also discussed.

Carpal Dislocations and Subluxation

Primarily, lunate and perilunate dislocations are elaborated. Clinical features include painful and swollen wrist. AP view of X-rays demonstrates carpus is diminished in height and bone shadows overlap abnormally. Treatment options follows closed reduction and open reduction. Clinical features of scapholunate dissociation are highlighted later on along with the lunotriquetral dissociation.

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