Abstract
Carpal axial injuries are rare and devastating and can be difficult to classify because
of various possible injury combinations. A 54-year-old man was involved in a road
accident, resulting in serious injury to his dominant right wrist. An axial injury
between the capitate and the hamate was combined with open perilunate dislocation
and fracture, metacarpal II and III dislocation, and radial styloid fracture. This
specific carpal injury has not been previously described. Our clinical case description
will contribute to the understanding of the mechanism and pathology of axial carpal
injuries. Proximal row carpectomy and pinning-fixation yielded good result at 3 years
follow-up. We posit that these rare axial carpal injuries combined with some stage
of perilunar injury can be considered a specific injury type in the classification
of axial carpal injuries.
Keywords
axial carpal injury - capitohamate injury - perilunar injury - lunate fracture - axial
dissociation
