This is a case of traumatic carpal axial instability in a professional football player. Traumatic carpal axial instability characteristically involves longitudinal separation of the ulnar or radial distal carpal row along with intermetacarpal injury. Rarely, pancarpal ligament disruption occurs, as in this case. Early diagnosis and treatment of unstable wrist injuries is important in achieving a satisfactory outcome.
Garcia-EliasMAnK-NCooneyWP3rdLincsheidRCChaoEY. Stability of the transverse carpal arch: an experimental study. J Hand Surg Am. 1989;14(2 pt 1):277-282.
2.
Garcia-EliasMDobynsJHCooneyWP3rdLinscheidRL. Traumatic axial dislocations of the carpus. J Hand Surg Am. 1989;14:446-457.
3.
GvozdenovicRNielsenNSGarcia-EliasM. Combined perilunate and axial ulnar dislocation of the wrist. J Wrist Surg. 2012;1:173-176.
4.
HortonTShinAYCooneyWP3rd. Isolated scaphoid dislocation associated with axial carpal dissociation: an unusual injury report. J Hand Surg Am. 2004;29:1102-1108.
5.
LaneLB. The scaphoid shift test. J Hand Surg Am. 1993;18:366-368.
6.
MayfieldJK. Mechanism of carpal injuries. Clin Orthop Relat Res. 1980;(149):45-54.
7.
MitsuyasuHPattersonRMShahMABufordWLIwamotoYViegasSF. The role of the dorsal intercarpal ligament in dynamic and static scapholunate instability. J Hand Surg Am. 2004;29:279-288.
8.
NaamNHSmithDKGilulaLA. Transtriquetral perihamate ulnar axial dislocation and palmar lunate dislocation. J Hand Surg Am. 1992;17:762-766.
9.
RichardsRSBennettJDRothJH. Scaphoid dislocation with radial-axial carpal disruption. AJR Am J Roentgenol. 1993;160:1075-1076.
10.
SchweizerAKammerE. Transhamate periscaphoid axial radial fracture dislocation of the carpus. J Hand Surg Am. 2008;33:210-212.
11.
YammineKLecorreNMontagliariC. Interscapholunate carpal axial dislocation: a case report [in French]. Rev Chir Orthop Reparatrice Appar Mot. 2000;86:93-196.