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Journal of Hand Surgery (British and European Volume)
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Carpal Ligament Injuries with Acute Scaphoid Fractures – A Combined Wrist Injury

T. C. WONG
T. H. YIP
W. C. WU

From the Department of Orthopaedics and Traumatology, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China, and Orthopaedic and Sports Medicine Centre, Hong Kong Sanatorium & Hospital, Hong Kong, SAR, China

Correspondence: Dr Tak-Chuen Wong, MBChB, MRCSED., Medical & Health Officer, Department of Orthopaedics and Traumatology, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Road, Chai Wan, Hong Kong SAR, China. Tel.: +852 2595 6415; fax: +852 2595 6414. E-mail: tedwong2{at}i-cable.com

Fifty-two consecutive patients with acute scaphoid fractures were treated by closed reduction and percutaneous screw fixation. In addition, all underwent a wrist arthrogram and 22 patients also underwent a wrist arthroscopy. Eighteen patients (34%) had an associated carpal ligament injury (four scapholunate ligament, eight lunotriquetral ligament, two combined, three TFCC and one minor leak from the distal carpal row). These patients had worse Mayo wrist scores (no ligament injury median score = 95: ligament injury median score = 85) at a mean final follow-up of 61 weeks. We advocate that scaphoid fractures with associated carpal ligament injuries should be defined as a combined wrist injury.

Key Words: wrist injury • scaphoid fracture • carpal ligament • arthroscopy

Journal of Hand Surgery (British and European Volume), Vol. 30, No. 4, 415-418 (2005)
DOI: 10.1016/J.JHSB.2005.02.011
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