Özgür YILDIRIM, Fuad ÖKEN, Ahmet UÇANER, Murat GÜLCEK, Zafer SOYDAN, Vuslat Sema ÜNAL

How to manage triquetrum and hamate fractures in unusual patterns:A case report

Elin fonksiyonel bütünlüğü için karpal kemiklerin üç boyutlu diziliminin sağlam olması gerekir. Karpal kemik kırıklarının tedavisi zordur ve lokalizasyona göre farklılıklar gösterebilir. Bu yazıda kapalı karpal yaralanması olan hasta ve tedavisi sunulmaktadır. El bileğinin, bir iş kazası sırasında örs ile balyoz arasında sıkışması sonucu hastanın el bileğinde çoklu karpal kırıkla beraber, belirgin şişlik oluşmuştur. Yaralanmanın tipi bir çeşit capito-hamat diastaz olmakla beraber daha önce tanımlanmış sınıflardan birine uymamaktadır. Klinik sonuç iyi olup hasta yaralanmadan önceki hayatına tamamen dönmüştür.

Nasıl üstesinden gelinir? Ender tipte triquetrum ve hamatum kırıkları olan bir olgu sunumu

Abstract: The 3-dimensional alignment of the carpal bones should be intact to ensure functional integrity of the hand. The treatment of fractures of the carpal bones is challenging and may differ according to localization. A patient with closed carpal injury and his treatment are presented in this report. After his wrist was crushed between a smooth hammer and a workbench during an occupational accident, the patient had multiple carpal bone fractures and remarkable swelling. The type of the injury was regarded to be a sort of capitate-hamate diastasis, although it did not correspond to any type that had been previously described. The clinical result was good, and the patient completely recovered.

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