Pisiform and Hamulus Fractures: Easily Missed Wrist Fractures Diagnosed on a Reverse Oblique Radiograph
We present a review of the current literature involving fractures of the pisiform and hook of the hamate. This is highlighted by two cases in which the fracture lines are seen only on the reverse oblique wrist radiograph, a view obtained with the wrist in a supinated rather than a pronated position....
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| Veröffentlicht in: | The Journal of emergency medicine 1998-05, Vol.16 (3), p.445-452 |
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| creator | Lacey, James D Hodge, Jacqueline C |
| description | We present a review of the current literature involving fractures of the pisiform and hook of the hamate. This is highlighted by two cases in which the fracture lines are seen only on the reverse oblique wrist radiograph, a view obtained with the wrist in a supinated rather than a pronated position. These fractures are not seen on standard two or three view wrist examination. Both of these fractures were initially missed in the emergency department. Serious sequelae can result from both of these injuries and can be avoided if diagnosed acutely. The reverse oblique radiograph can be quick, cost-effective, and diagnostic in this setting. If properly treated by immobilization or excision, the results can be excellent. |
| doi_str_mv | 10.1016/S0736-4679(98)00016-X |
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This is highlighted by two cases in which the fracture lines are seen only on the reverse oblique wrist radiograph, a view obtained with the wrist in a supinated rather than a pronated position. These fractures are not seen on standard two or three view wrist examination. Both of these fractures were initially missed in the emergency department. Serious sequelae can result from both of these injuries and can be avoided if diagnosed acutely. The reverse oblique radiograph can be quick, cost-effective, and diagnostic in this setting. If properly treated by immobilization or excision, the results can be excellent.</description><identifier>ISSN: 0736-4679</identifier><identifier>EISSN: 2352-5029</identifier><identifier>DOI: 10.1016/S0736-4679(98)00016-X</identifier><identifier>PMID: 9610976</identifier><identifier>CODEN: JEMMDO</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Biological and medical sciences ; Carpal Bones - diagnostic imaging ; Diagnostic Errors ; fracture ; Fractures, Bone - diagnostic imaging ; Fractures, Bone - therapy ; hamate ; Humans ; Injuries of the limb. Injuries of the spine ; Male ; Medical sciences ; pisiform ; Radiography - methods ; trauma ; Traumas. 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This is highlighted by two cases in which the fracture lines are seen only on the reverse oblique wrist radiograph, a view obtained with the wrist in a supinated rather than a pronated position. These fractures are not seen on standard two or three view wrist examination. Both of these fractures were initially missed in the emergency department. Serious sequelae can result from both of these injuries and can be avoided if diagnosed acutely. The reverse oblique radiograph can be quick, cost-effective, and diagnostic in this setting. If properly treated by immobilization or excision, the results can be excellent.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Carpal Bones - diagnostic imaging</subject><subject>Diagnostic Errors</subject><subject>fracture</subject><subject>Fractures, Bone - diagnostic imaging</subject><subject>Fractures, Bone - therapy</subject><subject>hamate</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>pisiform</subject><subject>Radiography - methods</subject><subject>trauma</subject><subject>Traumas. Diseases due to physical agents</subject><subject>wrist</subject><subject>Wrist Injuries - diagnostic imaging</subject><subject>Wrist Injuries - therapy</subject><issn>0736-4679</issn><issn>2352-5029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0U1rFTEUBuAgSr1Wf0IhCxFdjOZj8uWmSG1toVJpK3YXMsnJNTIf12Sm0H9vbnupy64CeR_CyXkROqDkIyVUfroiisumlcq8N_oDIfWuuXmGVowL1gjCzHO0eiQv0atS_lSjiKZ7aM9ISoySK7T-kUqKUx6wGwM-dcPSLwWfZOfnJUP5jI9dSf0d_p5KgYB_5VTm_zH-mtx6nLbJNGKHL-EWcgF80fXp7wL40oU0rbPb_H6NXkTXF3izO_fRz5Pj66PT5vzi29nRl_MGGFdzI2gb2k4SHnRnIleOcw9aeK0FAHW81UJT2UbjNeuUCpEJHYmMgrs2Mu34Pnr38O4mT3WCMtshFQ9970aYlmKVMXUDgjwJqayISlrhwQ4u3QDBbnIaXL6zuxXW_O0ud8W7PmY3-lQeGaszK8IqO3xgUH9_myDb4hOMHkLK4GcbpmQpsdtq7X21dtubNdreV2tv-D8auZTf</recordid><startdate>199805</startdate><enddate>199805</enddate><creator>Lacey, James D</creator><creator>Hodge, Jacqueline C</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>199805</creationdate><title>Pisiform and Hamulus Fractures: Easily Missed Wrist Fractures Diagnosed on a Reverse Oblique Radiograph</title><author>Lacey, James D ; Hodge, Jacqueline C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e237t-514d4b603d8b9f37a33ce85c885ee1a34858164f9c82b77df258f06f53a4f28a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Carpal Bones - diagnostic imaging</topic><topic>Diagnostic Errors</topic><topic>fracture</topic><topic>Fractures, Bone - diagnostic imaging</topic><topic>Fractures, Bone - therapy</topic><topic>hamate</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>pisiform</topic><topic>Radiography - methods</topic><topic>trauma</topic><topic>Traumas. Diseases due to physical agents</topic><topic>wrist</topic><topic>Wrist Injuries - diagnostic imaging</topic><topic>Wrist Injuries - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lacey, James D</creatorcontrib><creatorcontrib>Hodge, Jacqueline C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lacey, James D</au><au>Hodge, Jacqueline C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pisiform and Hamulus Fractures: Easily Missed Wrist Fractures Diagnosed on a Reverse Oblique Radiograph</atitle><jtitle>The Journal of emergency medicine</jtitle><addtitle>J Emerg Med</addtitle><date>1998-05</date><risdate>1998</risdate><volume>16</volume><issue>3</issue><spage>445</spage><epage>452</epage><pages>445-452</pages><issn>0736-4679</issn><eissn>2352-5029</eissn><coden>JEMMDO</coden><abstract>We present a review of the current literature involving fractures of the pisiform and hook of the hamate. This is highlighted by two cases in which the fracture lines are seen only on the reverse oblique wrist radiograph, a view obtained with the wrist in a supinated rather than a pronated position. These fractures are not seen on standard two or three view wrist examination. Both of these fractures were initially missed in the emergency department. Serious sequelae can result from both of these injuries and can be avoided if diagnosed acutely. The reverse oblique radiograph can be quick, cost-effective, and diagnostic in this setting. If properly treated by immobilization or excision, the results can be excellent.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9610976</pmid><doi>10.1016/S0736-4679(98)00016-X</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Biological and medical sciences Carpal Bones - diagnostic imaging Diagnostic Errors fracture Fractures, Bone - diagnostic imaging Fractures, Bone - therapy hamate Humans Injuries of the limb. Injuries of the spine Male Medical sciences pisiform Radiography - methods trauma Traumas. Diseases due to physical agents wrist Wrist Injuries - diagnostic imaging Wrist Injuries - therapy |
| title | Pisiform and Hamulus Fractures: Easily Missed Wrist Fractures Diagnosed on a Reverse Oblique Radiograph |
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