Pediatric Lunotriquetral Dissociation and Static Volar Intercalated Segmental Instability After Radial Neck Fracture
Pediatric patients can pose challenges with regard to both diagnosis and obtaining an accurate history and physical examination, as well as in treatment strategies, as options become limited when physes remain open. This case report examines a 12-year-old boy who sustained a radial neck fracture aft...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Journal of Hand Surgery Global Online |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589514124001919 |
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| author | Lauren E. Tagliero, MD William J. Shaughnessy, MD Alexander Y. Shin, MD |
| author_facet | Lauren E. Tagliero, MD William J. Shaughnessy, MD Alexander Y. Shin, MD |
| author_sort | Lauren E. Tagliero, MD |
| collection | DOAJ |
| description | Pediatric patients can pose challenges with regard to both diagnosis and obtaining an accurate history and physical examination, as well as in treatment strategies, as options become limited when physes remain open. This case report examines a 12-year-old boy who sustained a radial neck fracture after a ground-level fall. Although his elbow injury was treated appropriately, he developed wrist pain that progressed to static volar intercalated segmental instability deformity in the context of a carpal instability nondissociative wrist. A paucity of cases of pediatric patients with open physes and static volar intercalated segmental instability deformity exists. Adult treatment typically consists of some form of arthrodesis; however, this should be approached with caution in young patients. This case highlights the importance of careful wrist examination in all elbow injuries, as well as the challenges in surgical treatment options for pediatric patients. |
| format | Article |
| id | doaj-art-d98bff11a6a1400e9d33de8c1acf6439 |
| institution | Kabale University |
| issn | 2589-5141 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Hand Surgery Global Online |
| spelling | doaj-art-d98bff11a6a1400e9d33de8c1acf64392025-01-26T05:04:38ZengElsevierJournal of Hand Surgery Global Online2589-51412025-01-0171103108Pediatric Lunotriquetral Dissociation and Static Volar Intercalated Segmental Instability After Radial Neck FractureLauren E. Tagliero, MD0William J. Shaughnessy, MD1Alexander Y. Shin, MD2Department of Orthopedic Surgery, Mayo Clinic, Rochester, MNDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MNDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN; Corresponding author: Alexander Y. Shin, MD, Department of Orthopedic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN 55905.Pediatric patients can pose challenges with regard to both diagnosis and obtaining an accurate history and physical examination, as well as in treatment strategies, as options become limited when physes remain open. This case report examines a 12-year-old boy who sustained a radial neck fracture after a ground-level fall. Although his elbow injury was treated appropriately, he developed wrist pain that progressed to static volar intercalated segmental instability deformity in the context of a carpal instability nondissociative wrist. A paucity of cases of pediatric patients with open physes and static volar intercalated segmental instability deformity exists. Adult treatment typically consists of some form of arthrodesis; however, this should be approached with caution in young patients. This case highlights the importance of careful wrist examination in all elbow injuries, as well as the challenges in surgical treatment options for pediatric patients.http://www.sciencedirect.com/science/article/pii/S2589514124001919Carpal instability nondissociativeEssex-LoprestiLunotriquetral ligament instabilityPediatric wristVolar intercalated segmental instability |
| spellingShingle | Lauren E. Tagliero, MD William J. Shaughnessy, MD Alexander Y. Shin, MD Pediatric Lunotriquetral Dissociation and Static Volar Intercalated Segmental Instability After Radial Neck Fracture Journal of Hand Surgery Global Online Carpal instability nondissociative Essex-Lopresti Lunotriquetral ligament instability Pediatric wrist Volar intercalated segmental instability |
| title | Pediatric Lunotriquetral Dissociation and Static Volar Intercalated Segmental Instability After Radial Neck Fracture |
| title_full | Pediatric Lunotriquetral Dissociation and Static Volar Intercalated Segmental Instability After Radial Neck Fracture |
| title_fullStr | Pediatric Lunotriquetral Dissociation and Static Volar Intercalated Segmental Instability After Radial Neck Fracture |
| title_full_unstemmed | Pediatric Lunotriquetral Dissociation and Static Volar Intercalated Segmental Instability After Radial Neck Fracture |
| title_short | Pediatric Lunotriquetral Dissociation and Static Volar Intercalated Segmental Instability After Radial Neck Fracture |
| title_sort | pediatric lunotriquetral dissociation and static volar intercalated segmental instability after radial neck fracture |
| topic | Carpal instability nondissociative Essex-Lopresti Lunotriquetral ligament instability Pediatric wrist Volar intercalated segmental instability |
| url | http://www.sciencedirect.com/science/article/pii/S2589514124001919 |
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