Skip to main content
SpringerLink
Log in
Book cover

Fundamentals of Hand and Wrist Imaging pp 397–421Cite as

Trauma of the Hand and Wrist

  • Chapter

  • 521 Accesses

Abstract

The hand and wrist are common sites for trauma, resulting in various bony, capsular, ligamentous and tendinous injuries. Traumatic injuries of the wrist are very frequent and occur at every age. Some lesions happen characteristically in a specific decade of life. Bone mineralization, which could be considered age-related, and ligamentous resistance and compliance, together with the mechanism of the trauma determine the resulting lesion [1-5]. Thus, metaphyseal fractures and slipping epiphysis typically occur in children. Both carpal dislocations and fracture-dislocations typically occur in young adults. Fractures, dislocations and fracture-dislocations of the distal extremity of radius and ulna usually occur in the elderly.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Martucci E., Rimondi E. (1985) Classificazione descrittiva delle lussazioni e fratture-Iussazioni del carpo. Chir Org Mov 70:347–354

    CAS  Google Scholar 

  2. Gui L. (1975) Fratture e lussazioni, vol 3. Aulo Gaggi Editore, Bologna, pp 323–458

    Google Scholar 

  3. O’Brien E.T. (1984) Acute fractures and dislocations of the carpus. Orthop Clin North Am 15:237–258

    CAS  Google Scholar 

  4. Resnick D., Niwayama G. (1981) Physical injury. In: Diagnosis of bone and joint disorders, vol 3. Saunders, Philadelphia, pp 2240–2326

    Google Scholar 

  5. Rimondi E., Ravazzolo G., Martucci E., Luppi B. (1987) Diagnosi radiografica delle lussazioni e delle fratture-Iussazioni del carpo. Radiol Med 74:504–511

    PubMed  CAS  Google Scholar 

  6. Rimondi E., Albisinni U., Sabalat S., Galli G. (1990) Lesioni traumatiche del polso e della mano: studio radiologico convenzionale. In: Albisinni U. (ed) Diagnostica per immagini in traumatologia. Aulo Gaggi Editore, Bologna, pp 379–418

    Google Scholar 

  7. Gilula L.A. (1979) Carpal injuries: analytic approach and case exercise. AJR 133:503–517

    PubMed  CAS  Google Scholar 

  8. Obermann W.R. (1996) Wrist injuries: pitfalls in conventional imaging. Eur J Radiol 22:11–21

    Article  PubMed  CAS  Google Scholar 

  9. Kerr R., Kingston S. (1997) Imaging of sport injuries of the wrist and hand. In: Karasick D., Schweitzer E. (eds) Seminars in musculoskeletal radiology, vol 1. Thieme, New York, pp 5–27

    Google Scholar 

  10. Totterman S.M.S., Miller R.J. (1996) MRI of the wrist and hand. In: Gilula L.A., Yin Y. (eds) Imaging of the wrist and hand. Saunders, Philadelphia, pp 471–478

    Google Scholar 

  11. Kohler A., Zimmer E.A. (1986) Limiti del normale ed inizio del patologico nella diagnostica radiologica dello scheletro. Ambrosiana, Milan, pp 144–203

    Google Scholar 

  12. Brown D.E., Lichtman D.M. (1984) The evaluation of chronic wrist pain. Orthop Clin North Am 15:183–192

    PubMed  CAS  Google Scholar 

  13. Albisinni U., Bungaro P. (1990) Introduzione allo studio radiologico convenzionale delle lesioni traumatiche. In: Albisinni U. (ed) Diagnostica per immagini in traumatologia. Aulo Gaggi Editore, Bologna, pp 15–48

    Google Scholar 

  14. Lovallo J.L., Simmons B.P. (1994) Hand and wrist injuries. In: Stanitski C.L., Delee J.C., Drez D. Jr (eds) Pediatric and adolescent sports medicine. Saunders, Philadelphia, pp 262

    Google Scholar 

  15. Yeager B.A., Dalinka M.K. (1985) Radiology of trauma to the wrist: dislocations, fracturedislocations and instability patterns. Skeletal Radiol 13:120–131

    Article  PubMed  CAS  Google Scholar 

  16. King G.J., McMurtry R.Y., Rubinstein J.D., Ogston N.G. (1986) Computerized tomography of the distal radio-ulnar joint: correlation with ligamentous pathology in a cadaveric model. J HandSurg 11:711–717

    CAS  Google Scholar 

  17. Reckling F.W. (1982) Unstable fracture-dislocations of the forearm (Monteggia and Galeazzi lesions). J Bone Joint SurgAm 64:857–862

    CAS  Google Scholar 

  18. Wechsler R.J., Wehbe M.A., Rikfin M.D., Edeiken J., Branch H.M. (1987) Computed tomography diagnosis of distal radioulnar subluxation. Skeletal Radiol 16:1–5

    Article  PubMed  CAS  Google Scholar 

  19. Nakamura R., Horii E., Imaeda T., Nakao E. (1996) Criteria for diagnosing distal radioulnar joint subluxation by computed tomography. Skeletal Radiol 25:649–653

    Article  PubMed  CAS  Google Scholar 

  20. Staron R.B., Feldman F., Haramati N., et al (1994) Abnormal geometry of the distal radioulnar joint: MR findings. Skeletal Radiol 23:369–372

    Article  PubMed  CAS  Google Scholar 

  21. Linscheid R.L., Dobyns J.H. (1985) Athlete injuries of the wrist. Clin Orthop 198:141–151

    PubMed  Google Scholar 

  22. Taleisnik J. (1987) Pain on the ulnar side of the wrist. Hand Clin 3:51–68

    PubMed  CAS  Google Scholar 

  23. Mikic Z.D. (1989) Detailed anatomy of the articular disc of the distal radioulnar joint. Clin Orthop 245:123–132

    PubMed  Google Scholar 

  24. Palmer A.K. (1989) Triangular fibrocartilage complex lesions: a classification. J Hand Surg 14:594–606

    Article  CAS  Google Scholar 

  25. Levinsohn E.M., Palmer A.K., Coren A.B., Zinberg E. (1987) Wrist arthrography: the value of the three compartment injection technique. Skeletal Radiol 16:539–544

    Article  PubMed  CAS  Google Scholar 

  26. Levinsohn E.M., Rosen I.D., Palmer A.K. (1991) Wrist arthrography: value ofthe three-compartment injection method. Radiology 179:231–239

    PubMed  CAS  Google Scholar 

  27. Tirman R.M., Weber E.R., Snider L.L., Koonce T.W. (1985) Midcarpal wrist arthrography for detection of tears of the scapholunate and lunotriquetralligaments. AJR 144:107–108

    PubMed  CAS  Google Scholar 

  28. Manaster B.J. (1991) The clinical efficacy of triple-injection wrist arthrography. Radiology 178:267–270

    PubMed  CAS  Google Scholar 

  29. Romaniuk G.S., Butt W.P., Coral A. (1995) Bilateral three-compartment wrist arthrography in patients with unilateral wrist pain: findings and implications for management. Skeletal Radiol 24:95–99

    Article  PubMed  CAS  Google Scholar 

  30. Metz V.M., Mann F.A., Gilula L.A. (1993) Three-compartment wrist arthrography: correlation of pain site with location of uni-and bidirectional communications. AJR 160:819–822

    PubMed  CAS  Google Scholar 

  31. Manaster B.J., Mann R.J., Rubenstein S. (1989) Wrist pain: correlation of clinical and plain film findings with arthrographic results. J Hand Surg [Am] 14:466–473

    Article  CAS  Google Scholar 

  32. Schweitzer M.E., Brahme S.K., Hodler J. et al (1992) Chronic wrist pain: Spin-echo and short tau inversion recovery MR imaging and conventional and MR arthrography. Radiology 182:205–211

    PubMed  CAS  Google Scholar 

  33. Zlatkin M.B., Chao P.C., Osterman A.L. et al (1989) Chronic wrist pain: evaluation with high resolution MR imaging. Radiology 173:723–729

    PubMed  CAS  Google Scholar 

  34. Golimbu C.N., Firooznia H., Melone C.P. jrJr,et al (1989) Tears of the triangular fibrocartilage of the wrist: MR imaging. Radiology 173:731–733

    Google Scholar 

  35. Totterman S.M.S., Miller R.J. (1995) Triangular fibrocartilage complex: normal appearance on coronal three-dimensional gradient-recalled-echo MR images. Radiology 195:521–527

    PubMed  CAS  Google Scholar 

  36. Totterman S.M.S., Miller R.J., McCance S.E., Meyers S.P. (1996) Lesions of the triangular fibrocartilage complex: MR findings with a three-dimensional gradient-recalled-echo sequence. Radiology 199:227–232

    PubMed  CAS  Google Scholar 

  37. Mandelbaum B.R., Bartolozzi A.R., Davis C.A., Teurlings L., Bragonier B. (1989) Wrist pain syndrome in the gymnast. Pathogenetic, diagnostic and therapeutic considerations. Am J Sports Med 17:305–317

    Article  PubMed  CAS  Google Scholar 

  38. Albanese S.A., Palmer A.K., Kerr D.R., et al (1989) Wrist pain and distal growth plate closure of the radius in gymnasts. J Pediatr Orthop 9:23–28

    Article  PubMed  CAS  Google Scholar 

  39. Tolat A.R., Sanderson P.L., DE S.L., Stanley J.K. (1992) The gymnast’s wrist: acquired positive ulnar variance following chronic epiphyseal injury. J Hand Surg [Br] 17:678–681

    CAS  Google Scholar 

  40. Palmer A.K., Werner F.W. (1984) Biomechanics of the distal radioulnar joint. Clin Orthop 187:26–35

    PubMed  Google Scholar 

  41. Imaeda T., Nakamura R., Shionoya K., Makino N. (1996) Ulnar impaction syndrome: MR imaging findings. Radiology 210:495–500

    Google Scholar 

  42. Cooney W.P. III, Linscheid R.L., Dobyns J.H. (1996) Fractures and dislocations of the wrist. In: Rockwood C.A. JRJr., Green D.P., Buchols R.W., Heckman J.D. (eds) Fractures in adults. LippincottRaven, Philadelphia, pp 745–867

    Google Scholar 

  43. Fisk G.R. (1970) Carpal instability and the fracture scaphoid. Ann R Coll Surg EngL 46:63–76

    PubMed  CAS  Google Scholar 

  44. Hanks G.A., Kalenak A., Bowman L.S., Sebastianelli W.J. (1989) Stress fractures of the carpal scaphoid. J Bone Joint Surg Am 71:938–941

    PubMed  CAS  Google Scholar 

  45. Eddeland A., Eiken O., Hellgren E., Ohlsson N.M. (1975) Fractures ofthe scaphoid. Scand J Plast Reconstr Surg 9:234–239

    Article  PubMed  CAS  Google Scholar 

  46. Sakuma M., Nakamura R., Imaeda T. (1995) Analysis of proximal fragment sclerosis and surgical outcome of scaphoid non-union by magnetic resonance imaging. J Hand Surg [Br] 20:201–205

    CAS  Google Scholar 

  47. Hunter J.C., Escobedo E.M., Wilson A.J., et al (1997) MR imaging of clinically suspected scaphoid fractures. AJR 168:1287–1293

    PubMed  CAS  Google Scholar 

  48. Futami T., Aoki K., Tsukamoto Y. (1993) Fractures of the hook of the hamate in athletes. 8 cases followed for 6 years. Acta Orthop Scand 64:469–471

    Article  PubMed  CAS  Google Scholar 

  49. Norman A., Nelson J., Green S. (1985) Fractures of the hook of hamate. Radiographic signs. Radiology 154:49–53

    PubMed  CAS  Google Scholar 

  50. Oneson S.R., Scales L.M., Erickson S.J., Timins M.E. (1996) MR imaging of the painful wrist. Radiographics 16:997–1008

    PubMed  CAS  Google Scholar 

  51. Hartford J.M., Murphy J.M. (1996) Flexor digitorum profundus rupture of the small finger secondary to nonunion of the hook of hamate: a case report. J Hand Surg [Am] 21:621–623

    Article  CAS  Google Scholar 

  52. Palmer A.K. (1981) Trapezial ridge fractures. J Hand Surg 6:561–564

    CAS  Google Scholar 

  53. Fenton R.L. (1956) The naviculo-capitate fracture syndrome. J Bone Joint Surg Am 38:681–684

    PubMed  Google Scholar 

  54. Hili N.A. (1970) Fractures and dislocations of the carpus. Orthop Clin North Am 1:275–284

    Google Scholar 

  55. O’Brien E.T. (1984) Acute fractures and dislocations of the carpus. Orthop Clin North Am 15:237–258

    CAS  Google Scholar 

  56. MacAusland W.R. (1944) Perilunar dislocation of the carpal bones and dislocation of the lunate bone. Surg Gynecol Obstet 79:256–266

    Google Scholar 

  57. Campbell J.I., Feagin J.A., King P., Lambert K.L., Cunningham R. (1922) Ulnar collateralligament injury of the thumb: treatment with glove spica cast. Am J Sports Med 20:29–30

    Article  Google Scholar 

  58. Posner M.A., Retailaud J. (1992) Metacarpophalangeal joint injuries of the thumb. Hand Clin 8:713–732

    PubMed  CAS  Google Scholar 

  59. Noszian I.M., Dinnhauser L.M., Orthner E., Straub G.M., Csanady M. (1995) Ulnar collateral ligament: differentiation of displaced and non-displaced tears with US. Radiology 194:61–63

    PubMed  CAS  Google Scholar 

  60. Lane L.B. (1991) Acute grade III ulnar collateralligament ruptures: a new surgical and rehabilitation protocol. Am J Sports Med 19:234–238

    Article  PubMed  CAS  Google Scholar 

  61. Stener B. (1962) Displacement of the ruptured ulnar collateralligament of the metacarpophalangeal joint of the thumb. J Bone Joint Surg 44:869–879

    Google Scholar 

  62. Luis D.S., Huebner J.J., Hankin F.M. (1986) Rupture and displacement of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb. J Bone Joint Surg 68:1320–1326

    Google Scholar 

  63. Arnold D.M., Cooney W.P., Wood M.B. (1992) Surgical management of chronic ulnar collateral ligament insufficiency of the thumb metacarpophalangeal joint. Orthop Rev 21:583–588

    PubMed  CAS  Google Scholar 

  64. Hinke D.H., Erickson S.J., Chamoy L., Timins M.E. (1994) Ulnar collateralligament of the thumb: MR findings in cadavers, volunteers and patients with ligamentous injury (gamekeeper’s thumb). AJR 163:1431–1434

    PubMed  CAS  Google Scholar 

  65. Hergan K., Mittler C., Oser W. (1995) Ulnar collateralligament: differentiation of displaced and non-displaced tears with US and MR imaging. Radiology 194:65–71

    PubMed  CAS  Google Scholar 

  66. McCue F.G. III, Bruce J.F. Jr (1994) Hand and wrist. In: De Lee J.C., Drez D. Jr (eds) Orthopaedic sports medicine. Principles and practice. Saunders, Philadelphia, pp 913–

    Google Scholar 

  67. Steinberg D.R. (1992) Acute flexor tendon injuries. Orthop Clin North Am 23:125–137

    PubMed  CAS  Google Scholar 

  68. Scott J.R., Cobby M., Taggart I. (1995) Magnetic Resonance Imaging of acute tendon injury of the finger. J Hand Surg 20:286–288

    CAS  Google Scholar 

Download references

Authors
  1. Carlo Masciocchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Alessia Catalucci
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Antonio Barile
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Carlo Faletti
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. IRCCS Hospital “Casa Sollievo della Sofferenza”, Viale Cappuccini, 71013, San Giovanni Rotondo, Italy

    Giuseppe Guglielmi MD

  2. Academic Medical Center, Department of Radiology, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands

    Cornelis van Kuijk MD, PhD

  3. Department of Radiology, University of California at San Francisco, CA, 94143-0628, San Francisco, USA

    Harry K. Genant MD

Rights and permissions

Reprints and permissions

Copyright information

© 2001 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Masciocchi, C., Catalucci, A., Barile, A., Faletti, C. (2001). Trauma of the Hand and Wrist. In: Guglielmi, G., van Kuijk, C., Genant, H.K. (eds) Fundamentals of Hand and Wrist Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56917-3_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-56917-3_18

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63225-9

  • Online ISBN: 978-3-642-56917-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation