Proximal row transcarpal fracture from a punching injury.


We describe an unusual case of a 31-year-old woman who injured the right dominant wrist when she punched an assailant's shoulder. She described a mechanism of direct compression, with the wrist in hyperextension, radial deviation and the forearm in pronation. She sustained an oblique transverse fracture of the proximal pole of the scaphoid and a coronal plane fracture of the lunate and the triquetrum. This unusual proximal row transcarpal fracture is in conflict with the Mayfield sequence and was caused by a low velocity injury.

Cite this paper

@article{Christodoulou1999ProximalRT, title={Proximal row transcarpal fracture from a punching injury.}, author={Lambrini Christodoulou and Carmen Palou and Sean T Chamberlain}, journal={Journal of hand surgery}, year={1999}, volume={24 6}, pages={744-6} }