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báo cáo hóa học:" Lessons to be learned from a missed case of Hamate fracture: a case report"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : Lessons to be learned from a missed case of Hamate fracture: a case report | Borse et al. Journal of Orthopaedic Surgery and Research 2010 5 64 http www.josr-online.eom content 5 1 64 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH CASE REPORT Open Access Lessons to be learned from a missed case of Hamate fracture a case report Vishal H Borse 1 James Hahnel2 Adnan Faraj3 Abstract Introduction We report the case of a missed fracture through the body of the hamate bone only detected on a later mistakenly taken 30 oblique x-ray view. This case highlights some of the problems encountered with traditional x-ray views and the need to consider oblique views as either standard procedure or as an adjunct where clinical suspicion remains high even in the presence of normal x-rays. Case presentation A healthy 26-year-old Caucasian male fell whilst jogging suffering a low velocity injury to his right hand. Initial accident and emergency examination and x-rays failed to demonstrate a fracture. At clinic anteroposterior and carpal tunnel radiographs showed no fracture however a mistakenly taken oblique x-ray revealed a displaced hamate body fracture. Conclusion The authors believe that where a hamate fracture is suspected an oblique x-ray view should be considered as part of the initial diagnostic investigations. Furthermore an oblique x-ray view is of particular use when clinical suspicion for hamate fracture remains high in the light of otherwise normal x-rays. Introduction Hamate fractures are uncommon particularly those involving the body of the hamate 1 . This case highlights some of the problems encountered with traditional x-ray views for identifying hamate fractures and the need to consider oblique views as either standard procedure or as an adjunct where clinical suspicion remains high even in the presence of normal x-rays. Case A 26 year old Caucasian male tripped whilst jogging suffering a low velocity injury to his right hand. He fell hitting his metacarpophalangeal MCP joints against the corner of the road curb with his fist clenched and his .